RIVERVIEW VA CLINIC PHARMACY (4520)    INSTITUTION (4)

Name Value
NAME RIVERVIEW VA CLINIC PHARMACY
STATE FLORIDA
STREET ADDR. 1 12920 SUMMERFIELD CROSSING BLVD.
CITY RIVERVIEW
ZIP 33579-7210
OFFICIAL VA NAME RIVERVIEW VA CLINIC PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME RIVERVIEW VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2019-05-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1821653080
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN