NEW PORT RICHEY PHARMACY (2943)    INSTITUTION (4)

Name Value
NAME NEW PORT RICHEY PHARMACY
STATE FLORIDA
STREET ADDR. 1 7900 LITTLE RD
CITY NEW PORT RICHEY
ZIP 34654-5405
OFFICIAL VA NAME New Port Richey Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME NEW PORT RICHEY VA CBOC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1952359879
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
HISTORY
  • STREET ADDR. 1 (CHANGED FROM):   9912 LITTLE ROAD
    CITY (CHANGED FROM):   New Port Richey
    STATE (CHANGED FROM):   FLORIDA
    ZIP (CHANGED FROM):   34654-3419
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1952359879