COLORADO SPRINGS PHARMACY (4156)    INSTITUTION (4)

Name Value
NAME COLORADO SPRINGS PHARMACY
STATE COLORADO
STREET ADDR. 1 3141 CENTENNIAL BLVD
CITY COLORADO SPRINGS
ZIP 80907-4094
OFFICIAL VA NAME COLORADO SPRINGS PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME COLORADO SPRINGS VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2008-02-04 00:00:00
    STATUS:   ACTIVE
    NPI:   1487673521
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
HISTORY
  • STREET ADDR. 1 (CHANGED FROM):   3141 CENTENNIAL BLVD
    CITY (CHANGED FROM):   COLORADO SPRINGS
    STATE (CHANGED FROM):   COLORADO
    ZIP (CHANGED FROM):   80907-9998