ZZ-ORLANDO PHARMACY (2928)    INSTITUTION (4)

Name Value
NAME ZZ-ORLANDO PHARMACY
STATE FLORIDA
STREET ADDR. 1 5201 Raymond St
CITY Orlando
ZIP 32803
OFFICIAL VA NAME Orlando Pharmacy
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ORLANDO VAMC PHARMACY
ST. ADDR. 1 (MAILING) 5201 Raymond St
CITY (MAILING) Orlando
STATE (MAILING) FLORIDA
ZIP (MAILING) 32803
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1871541797
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:   1871541797