| NAME |
INDIANAPOLIS PHARMACY |
| STATE |
INDIANA |
| STREET ADDR. 1 |
1481 W 10TH ST |
| CITY |
INDIANAPOLIS |
| ZIP |
46202-2803 |
| OFFICIAL VA NAME |
Indianapolis Pharmacy |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
INDIANAPOLIS VAMC PHARMACY |
| EFFECTIVE DATE/TIME |
-
- 2006-08-22 00:00:00
- STATUS: ACTIVE
- NPI: 1982662789
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 1481 West 10th St.
- CITY (CHANGED FROM): Indianapolis
- STATE (CHANGED FROM): INDIANA
- ZIP (CHANGED FROM): 46202-2803
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1982662789
|
