WINSTON-SALEM PHARMACY (2952)    INSTITUTION (4)

Name Value
NAME WINSTON-SALEM PHARMACY
STATE NORTH CAROLINA
STREET ADDR. 1 1695 KERNERSVILLE MEDICAL PARKWAY
CITY KERNERSVILLE
ZIP 27284-7159
OFFICIAL VA NAME WINSTON-SALEM PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME KERNERSVILLE VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1982652723
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:   1982652723