COLUMBIA FALLS PHARMACY (4159)    INSTITUTION (4)

Name Value
NAME COLUMBIA FALLS PHARMACY
STATE MONTANA
STREET ADDR. 1 400 VETERANS DRIVE
CITY COLUMBIA FALLS
ZIP 59912-9998
OFFICIAL VA NAME COLUMBIA FALLS PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME COLUMBIA FALLS VA CBOC PHARMACY
ST. ADDR. 1 (MAILING) 400 VETERANS DRIVE
CITY (MAILING) COLUMBIA FALLS
STATE (MAILING) MONTANA
ZIP (MAILING) 59912-9998
EFFECTIVE DATE/TIME
  • 2007-09-27 00:00:00
    STATUS:   ACTIVE
    NPI:   1497703409
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA