UKIAH CBOC PHARMACY (4134)    INSTITUTION (4)

Name Value
NAME UKIAH CBOC PHARMACY
STATE CALIFORNIA
STREET ADDR. 1 630 KINGS COURT
CITY UKIAH
ZIP 95482-5003
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME UKIAH VA CBOC PHARMACY
EFFECTIVE DATE/TIME
  • 2008-07-10 00:00:00
    STATUS:   ACTIVE
    NPI:   1164685038
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE PACIFIC
COUNTRY USA