GREENVILLE VA CBOC PHARMACY (4137)    INSTITUTION (4)

Name Value
NAME GREENVILLE VA CBOC PHARMACY
STATE NORTH CAROLINA
STREET ADDR. 1 401 MOYE ROAD
CITY GREENVILLE
ZIP 27834-2885
OFFICIAL VA NAME GREENVILLE VA CBOC PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME GREENVILLE NC VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1225432248
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA