TOLEDO PHARMACY (4139)    INSTITUTION (4)

Name Value
NAME TOLEDO PHARMACY
STATE OHIO
STREET ADDR. 1 1200 S DETROIT AVE
CITY TOLEDO
ZIP 43614-5903
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME TOLEDO VA CBOC PHARMACY
EFFECTIVE DATE/TIME
  • 2007-12-27 00:00:00
    STATUS:   ACTIVE
    NPI:   1235322280
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
HISTORY
  • STREET ADDR. 1 (CHANGED FROM):   1200 S. DETROIT AVE
    CITY (CHANGED FROM):   TOLEDO
    STATE (CHANGED FROM):   OHIO
    ZIP (CHANGED FROM):   43614-2426