ZZ-BINGHAMTON CBOC PHARM (2920)    INSTITUTION (4)

Name Value
NAME ZZ-BINGHAMTON CBOC PHARM
STATE NEW YORK
STREET ADDR. 1 425 Robinson Street
CITY Binghamton
ZIP 13901-1735
OFFICIAL VA NAME Binghamton Pharmacy
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BINGHAMTON VA CBOC PHARMACY
ST. ADDR. 1 (MAILING) 425 Robinson Street
CITY (MAILING) Binghamton
STATE (MAILING) NEW YORK
ZIP (MAILING) 13901-1735
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1831157965
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:   1831157965