YOUNGSTOWN PHARMACY (4154)    INSTITUTION (4)

Name Value
NAME YOUNGSTOWN PHARMACY
STATE OHIO
STREET ADDR. 1 1815 BELMONT AVE
CITY YOUNGSTOWN
ZIP 44504-1106
OFFICIAL VA NAME YOUNGSTOWN PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME YOUNGSTOWN VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2008-02-04 00:00:00
    STATUS:   ACTIVE
    NPI:   1407040926
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA