LOVELAND 2 VA CLINIC PHARMACY (4519)    INSTITUTION (4)

Name Value
NAME LOVELAND 2 VA CLINIC PHARMACY
STATE COLORADO
STREET ADDR. 1 4575 BYRD DR
CITY LOVELAND
ZIP 80538-9998
OFFICIAL VA NAME LOVELAND 2 VA CLINIC PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LOVELAND VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2022-04-19 00:00:00
    STATUS:   ACTIVE
    NPI:   1407597834
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA