SAN ANTONIO 3 VA CLINIC PHARMA (4522)    INSTITUTION (4)

Name Value
NAME SAN ANTONIO 3 VA CLINIC PHARMA
STATE TEXAS
STREET ADDR. 1 9939 STATE HIGHWAY 151
CITY SAN ANTONIO
ZIP 78251-1900
OFFICIAL VA NAME SAN ANTONIO 3 VA CLINIC PHARMACY
STATUS National
ASSOCIATIONS
EFFECTIVE DATE/TIME
  • 2021-08-17 00:00:00
    STATUS:   ACTIVE
    NPI:   1982370102
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA