FRENCH CAMP VA CLINIC PHARMACY (4676)    INSTITUTION (4)

Name Value
NAME FRENCH CAMP VA CLINIC PHARMACY
STATE CALIFORNIA
STREET ADDR. 1 6505 S MANTHEY RD
CITY FRENCH CAMP
ZIP 95231-9518
OFFICIAL VA NAME FRENCH CAMP VA CLINIC PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME FRENCH CAMP VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2024-03-13 00:00:00
    STATUS:   ACTIVE
    NPI:   1669231569
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
HISTORY