OKLAHOMA CITY VA CLINIC PHARM (4151)    INSTITUTION (4)

Name Value
NAME OKLAHOMA CITY VA CLINIC PHARM
STATE OKLAHOMA
STREET ADDR. 1 7919 MID AMERICA BLVD SUITE 300
CITY OKLAHOMA CITY
ZIP 73135-6610
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME OKLAHOMA CITY VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2016-02-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1386002178
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA