| NAME |
CLEVELAND PHARMACY |
| STATE |
OHIO |
| STREET ADDR. 1 |
10701 East Blvd. |
| CITY |
Cleveland |
| ZIP |
44106-1702 |
| OFFICIAL VA NAME |
Cleveland Pharmacy |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CLEVELAND VAMC PHARMACY |
| ST. ADDR. 1 (MAILING) |
10701 East Blvd. |
| CITY (MAILING) |
Cleveland |
| STATE (MAILING) |
OHIO |
| ZIP (MAILING) |
44106-1702 |
| EFFECTIVE DATE/TIME |
-
- 2006-08-22 00:00:00
- STATUS: ACTIVE
- NPI: 1902864911
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1902864911
|
