CAPE GIRARDEAU VA CLN PHARMACY (4517)    INSTITUTION (4)

Name Value
NAME CAPE GIRARDEAU VA CLN PHARMACY
STATE MISSOURI
STREET ADDR. 1 711 S MOUNT AUBURN RD
CITY CAPE GIRARDEAU
ZIP 63703-9998
OFFICIAL VA NAME CAPE GIRARDEAU VA CLINIC PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CAPE GIRARDEAU VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2022-02-17 00:00:00
    STATUS:   ACTIVE
    NPI:   1093460131
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA