MONTGOMERY VA CLINIC PHARMACY (4144)    INSTITUTION (4)

Name Value
NAME MONTGOMERY VA CLINIC PHARMACY
STATE ALABAMA
STREET ADDR. 1 8105 VETERANS WAY
CITY MONTGOMERY
ZIP 36117-9998
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MONTGOMERY VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2015-12-07 00:00:00
    STATUS:   ACTIVE
    NPI:   1265898670
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA