KERRVILLE PHARMACY (2930)    INSTITUTION (4)

Name Value
NAME KERRVILLE PHARMACY
STATE TEXAS
STREET ADDR. 1 3600 MEMORIAL BLVD.
CITY KERRVILLE
ZIP 78028-5768
OFFICIAL VA NAME KERRVILLE PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME KERRVILLE VAMC PHARMACY
ST. ADDR. 1 (MAILING) 3600 MEMORIAL BLVD.
CITY (MAILING) KERRVILLE
STATE (MAILING) TEXAS
ZIP (MAILING) 78028-5768
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1871551606
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1871551606