PARMA CBOC PHARMACY (4165)    INSTITUTION (4)

Name Value
NAME PARMA CBOC PHARMACY
STATE OHIO
STREET ADDR. 1 8787 BROOKPARK RD
CITY PARMA
ZIP 44129-6809
OFFICIAL VA NAME PARMA CBOC PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PARMA VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2012-02-27 00:00:00
    STATUS:   ACTIVE
    NPI:   1528331014
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
HISTORY
  • STREET ADDR. 1 (CHANGED FROM):   8701 BROOKPARK RD
    CITY (CHANGED FROM):   PARMA
    STATE (CHANGED FROM):   OHIO
    ZIP (CHANGED FROM):   44129-6809