NORTH CENTRAL FEDERAL PHARMACY (4148)    INSTITUTION (4)

Name Value
NAME NORTH CENTRAL FEDERAL PHARMACY
STATE TEXAS
STREET ADDR. 1 17440 HENDERSON PASS
CITY SAN ANTONIO
ZIP 78232-1662
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME NORTH CENTRAL FEDERAL VA CBOC PHARMACY
EFFECTIVE DATE/TIME
  • 2008-05-07 00:00:00
    STATUS:   ACTIVE
    NPI:   1326214842
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA