AUSTIN PHARMACY (4167)    INSTITUTION (4)

Name Value
NAME AUSTIN PHARMACY
STATE TEXAS
STREET ADDR. 1 7901 METROPOLIS DRIVE
CITY Austin
ZIP 78744-3111
OFFICIAL VA NAME Austin Pharmacy
STATUS National
BILLING FACILITY NAME AUSTIN VA PHARMACY
ST. ADDR. 1 (MAILING) 2901 MONTOPOLIS DRIVE
CITY (MAILING) Austin
STATE (MAILING) TEXAS
ZIP (MAILING) 78751-6411
EFFECTIVE DATE/TIME
  • 2007-09-27 00:00:00
    STATUS:   ACTIVE
    NPI:   1538126651
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA