LOWELL PHARMACY (2912)    INSTITUTION (4)

Name Value
NAME LOWELL PHARMACY
STATE MASSACHUSETTS
STREET ADDR. 1 130 Marshall Rd
CITY Lowell
ZIP 01852-5130
OFFICIAL VA NAME Lowell Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LOWELL VA CBOC PHARMACY
ST. ADDR. 1 (MAILING) 130 Marshall Rd
CITY (MAILING) Lowell
STATE (MAILING) MASSACHUSETTS
ZIP (MAILING) 01852-5130
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1811945819
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1811945819