TEMPLE PHARMACY (4193)    INSTITUTION (4)

Name Value
NAME TEMPLE PHARMACY
STATE TEXAS
STREET ADDR. 1 1901 Veterans Memorial Dr.
CITY Temple
ZIP 76504-7451
OFFICIAL VA NAME Temple Pharmacy
STATUS National
BILLING FACILITY NAME TEMPLE VAMC PHARMACY
ST. ADDR. 1 (MAILING) 1901 Veterans Memorial Dr.
CITY (MAILING) Temple
STATE (MAILING) TEXAS
ZIP (MAILING) 76504-7451
EFFECTIVE DATE/TIME
  • 2007-09-27 00:00:00
    STATUS:   ACTIVE
    NPI:   1952359432
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA