LAKELAND VA CLINIC PHARMACY (4677) INSTITUTION (4)

Name	Value
NAME	LAKELAND VA CLINIC PHARMACY
STATE	FLORIDA
STREET ADDR. 1	2080 MEADOWLAND PARK BLVD
CITY	LAKELAND
ZIP	33803-4326
OFFICIAL VA NAME	LAKELAND VA CLINIC PHARMACY
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: LAKELAND VA CLINIC (673GB)
BILLING FACILITY NAME	LAKELAND VA CLINIC PHARMACY
EFFECTIVE DATE/TIME	2024-07-17 00:00:00 STATUS: ACTIVE NPI: 1922846716
TAXONOMY CODE	Suppliers PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
HISTORY