BRONX PHARMACY (2919)    INSTITUTION (4)

Name Value
NAME BRONX PHARMACY
STATE NEW YORK
STREET ADDR. 1 130 West Kingsbridge Rd.
CITY Bronx
ZIP 10468-3904
OFFICIAL VA NAME Bronx Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BRONX VAMC PHARMACY
ST. ADDR. 1 (MAILING) 130 West Kingsbridge Rd.
CITY (MAILING) Bronx
STATE (MAILING) NEW YORK
ZIP (MAILING) 10468-3904
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1821056995
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:   1821056995