ANN ARBOR PHARMACY (2915)    INSTITUTION (4)

Name Value
NAME ANN ARBOR PHARMACY
STATE MICHIGAN
STREET ADDR. 1 2215 FULLER RD
CITY ANN ARBOR
ZIP 48105-2303
OFFICIAL VA NAME Ann Arbor Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ANN ARBOR VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1821055906
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
HISTORY
  • STREET ADDR. 1 (CHANGED FROM):   2215 Fuller Rd.
    CITY (CHANGED FROM):   Ann Arbor
    STATE (CHANGED FROM):   MICHIGAN
    ZIP (CHANGED FROM):   48105-2303
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1821055906