| NAME |
NEWINGTON PHARMACY |
| STATE |
CONNECTICUT |
| STREET ADDR. 1 |
555 WILLARD AVENUE |
| CITY |
NEWINGTON |
| ZIP |
06111-2631 |
| OFFICIAL VA NAME |
Newington Pharmacy |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
NEWINGTON VA CLINIC PHARMACY |
| ST. ADDR. 1 (MAILING) |
555 Willard Ave |
| CITY (MAILING) |
Newington |
| STATE (MAILING) |
CONNECTICUT |
| ZIP (MAILING) |
06111-2631 |
| EFFECTIVE DATE/TIME |
-
- 2006-08-22 00:00:00
- STATUS: ACTIVE
- NPI: 1821056086
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1821056086
|
