PERRY POINT PHARMACY (2949)    INSTITUTION (4)

Name Value
NAME PERRY POINT PHARMACY
STATE MARYLAND
STREET ADDR. 1 601 PERRYVILLE DRIVE
CITY Perry Point
ZIP 21902-1111
OFFICIAL VA NAME Perry Point Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PERRY POINT VAMC PHARMACY
ST. ADDR. 1 (MAILING) 601 PERRYVILLE DRIVE
CITY (MAILING) Perry Point
STATE (MAILING) MARYLAND
ZIP (MAILING) 21902-1111
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1972551596
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:   1972551596