SAN JUAN PHARMACY (2947)    INSTITUTION (4)

Name Value
NAME SAN JUAN PHARMACY
STATE PUERTO RICO
STREET ADDR. 1 10 Calle Casia
CITY San Juan
ZIP 00921-3200
OFFICIAL VA NAME San Juan Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SAN JUAN VAMC PHARMACY
ST. ADDR. 1 (MAILING) 10 Calle Casia
CITY (MAILING) San Juan
STATE (MAILING) PUERTO RICO
ZIP (MAILING) 00921-3200
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1962450767
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE ATLANTIC
COUNTRY USA
TIMEZONE EXCEPTION SST Only
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1962450767