LONG BEACH PHARMACY (2937)    INSTITUTION (4)

Name Value
NAME LONG BEACH PHARMACY
STATE CALIFORNIA
STREET ADDR. 1 5901 East 7th St.
CITY Long Beach
ZIP 90822-5201
OFFICIAL VA NAME Long Beach Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LONG BEACH VAMC PHARMACY
ST. ADDR. 1 (MAILING) 5901 East 7th St.
CITY (MAILING) Long Beach
STATE (MAILING) CALIFORNIA
ZIP (MAILING) 90822-5201
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1912965658
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1912965658