SIOUX FALLS PHARMACY (2935)    INSTITUTION (4)

Name Value
NAME SIOUX FALLS PHARMACY
STATE SOUTH DAKOTA
STREET ADDR. 1 2501 W 22ND ST
CITY SIOUX FALLS
ZIP 57105-1305
OFFICIAL VA NAME Sioux Falls Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SIOUX FALLS VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1902854151
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:   1902854151