CHATTANOOGA PHARMACY (4131)    INSTITUTION (4)

Name Value
NAME CHATTANOOGA PHARMACY
STATE TENNESSEE
STREET ADDR. 1 6098 DEBRA ROAD, SUITE 5200
CITY CHATTANOOGA
ZIP 37411-5702
OFFICIAL VA NAME CHATTANOOGA PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CHATTANOOGA VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1144271776
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA