PHOENIX 3 VA CLINIC PHARMACY (4515)    INSTITUTION (4)

Name Value
NAME PHOENIX 3 VA CLINIC PHARMACY
STATE ARIZONA
STREET ADDR. 1 400 N 32ND ST
CITY PHOENIX
ZIP 85008-6205
OFFICIAL VA NAME PHOENIX 3 VA CLINIC PHARMACY
STATUS National
ASSOCIATIONS
EFFECTIVE DATE/TIME
  • 2022-02-03 00:00:00
    STATUS:   ACTIVE
    NPI:   1023761251
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA