BATH PHARMACY (2944)    INSTITUTION (4)

Name Value
NAME BATH PHARMACY
STATE NEW YORK
STREET ADDR. 1 76 Veterans Ave
CITY Bath
ZIP 14810-0810
OFFICIAL VA NAME Bath Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BATH VAMC PHARMACY
ST. ADDR. 1 (MAILING) 76 Veterans Ave
CITY (MAILING) Bath
STATE (MAILING) NEW YORK
ZIP (MAILING) 14810-0810
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1952368078
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1952368078