BOSTON PHARMACY (4146)    INSTITUTION (4)

Name Value
NAME BOSTON PHARMACY
STATE MASSACHUSETTS
STREET ADDR. 1 150 South Huntington Ave.
CITY Boston
ZIP 02130-4893
OFFICIAL VA NAME Boston Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BOSTON VAMC PHARMACY
ST. ADDR. 1 (MAILING) 150 South Huntington Ave.
CITY (MAILING) Boston
STATE (MAILING) MASSACHUSETTS
ZIP (MAILING) 02130-4893
EFFECTIVE DATE/TIME
  • 2007-09-27 00:00:00
    STATUS:   ACTIVE
    NPI:   1326006461
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA