BEAUMONT OPC PHARMACY (4135)    INSTITUTION (4)

Name Value
NAME BEAUMONT OPC PHARMACY
STATE TEXAS
STREET ADDR. 1 3420 VETERANS CIRCLE
CITY BEAUMONT
ZIP 77707-2552
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BEAUMONT VA CBOC PHARMACY
ST. ADDR. 1 (MAILING) 3420 VETERANS CIRCLE
CITY (MAILING) BEAUMONT
STATE (MAILING) TEXAS
ZIP (MAILING) 77707-2552
EFFECTIVE DATE/TIME
  • 2008-07-21 00:00:00
    STATUS:   ACTIVE
    NPI:   1174787105
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA