FAYETTEVILLE NC PHARMACY (2931)    INSTITUTION (4)

Name Value
NAME FAYETTEVILLE NC PHARMACY
STATE NORTH CAROLINA
STREET ADDR. 1 2300 RAMSEY ST
CITY FAYETTEVILLE
ZIP 28301-3856
OFFICIAL VA NAME Fayetteville NC Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME FAYETTEVILLE NC VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1871551713
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:   1871551713