TULSA CBOC PHARMACY (4147)    INSTITUTION (4)

Name Value
NAME TULSA CBOC PHARMACY
STATE OKLAHOMA
STREET ADDR. 1 8921 S MINGO RD
CITY TULSA
ZIP 74133-5841
OFFICIAL VA NAME TULSA CBOC PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME TULSA VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2008-07-03 00:00:00
    STATUS:   ACTIVE
    NPI:   1326201138
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA