BIRMINGHAM 1 VA CLINIC PHARM (4174)    INSTITUTION (4)

Name Value
NAME BIRMINGHAM 1 VA CLINIC PHARM
STATE ALABAMA
STREET ADDR. 1 2415 7TH AVENUE SOUTH
CITY BIRMINGHAM
ZIP 35233-3317
STATUS National
BILLING FACILITY NAME BIRMINGHAM 1 VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2016-03-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1699136150
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA