ZZ-BRECKSVILLE PHARMACY (4157)    INSTITUTION (4)

Name Value
NAME ZZ-BRECKSVILLE PHARMACY
STATE OHIO
STREET ADDR. 1 10000 BRECKSVILLE RD
CITY BRECKSVILLE
ZIP 44141-3204
OFFICIAL VA NAME BRECKSVILLE PHARMACY
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BRECKSVILLE VAMC PHARMACY
ST. ADDR. 1 (MAILING) 10000 BRECKSVILLE RD
CITY (MAILING) BRECKSVILLE
STATE (MAILING) OHIO
ZIP (MAILING) 44141-3204
EFFECTIVE DATE/TIME
  • 2008-02-04 00:00:00
    STATUS:   ACTIVE
    NPI:   1487847562
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA