LORAIN PHARMACY (4180)    INSTITUTION (4)

Name Value
NAME LORAIN PHARMACY
STATE OHIO
STREET ADDR. 1 5255 N ABBE ROAD
STREET ADDR. 2 205 WEST 20TH STREET
CITY SHEFFIELD VILLAGE
ZIP 44035-1451
OFFICIAL VA NAME LORAIN PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SHEFFIELD VILLAGE VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2008-02-04 00:00:00
    STATUS:   ACTIVE
    NPI:   1780877720
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA