ZZ-SANTA BARBARA PHARMACY (4145)    INSTITUTION (4)

Name Value
NAME ZZ-SANTA BARBARA PHARMACY
STATE CALIFORNIA
STREET ADDR. 1 4440 CALLE REAL
CITY SANTA BARBARA
ZIP 93110-1002
OFFICIAL VA NAME SANTA BARBARA PHARMACY
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SANTA BARBARA VA CBOC PHARMACY
ST. ADDR. 1 (MAILING) 4440 CALLE REAL
CITY (MAILING) SANTA BARBARA
STATE (MAILING) CALIFORNIA
ZIP (MAILING) 93110-1002
EFFECTIVE DATE/TIME
  • 2007-09-27 00:00:00
    STATUS:   ACTIVE
    NPI:   1316995244
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA