BOISE PHARMACY (2922)    INSTITUTION (4)

Name Value
NAME BOISE PHARMACY
STATE IDAHO
STREET ADDR. 1 500 West Fort St.
CITY Boise
ZIP 83702-4501
OFFICIAL VA NAME Boise Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BOISE VAMC PHARMACY
ST. ADDR. 1 (MAILING) 500 West Fort St.
CITY (MAILING) Boise
STATE (MAILING) IDAHO
ZIP (MAILING) 83702-4501
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1841258985
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1841258985