PALO ALTO PHARMACY (2941)    INSTITUTION (4)

Name Value
NAME PALO ALTO PHARMACY
STATE CALIFORNIA
STREET ADDR. 1 3801 Miranda Ave.
CITY Palo Alto
ZIP 94304-1207
OFFICIAL VA NAME Palo Alto Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PALO ALTO VAMC PHARMACY
ST. ADDR. 1 (MAILING) 3801 Miranda Ave.
CITY (MAILING) Palo Alto
STATE (MAILING) CALIFORNIA
ZIP (MAILING) 94304-1207
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1932157930
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:   1932157930