NAME |
ZZ-MESA PHARMACY |
STATE |
ARIZONA |
STREET ADDR. 1 |
6950 E. Williams Field Rd |
CITY |
MESA |
ZIP |
85212-6033 |
OFFICIAL VA NAME |
MESA PHARMACY |
INACTIVE FACILITY FLAG |
INACTIVE |
STATUS |
National |
ASSOCIATIONS |
|
BILLING FACILITY NAME |
MESA VA CBOC PHARMACY |
ST. ADDR. 1 (MAILING) |
6950 E. Williams Field Rd |
CITY (MAILING) |
MESA |
STATE (MAILING) |
ARIZONA |
ZIP (MAILING) |
85212-6033 |
EFFECTIVE DATE/TIME |
-
- 2006-08-22 00:00:00
- STATUS: ACTIVE
- NPI: 1477511590
|
TAXONOMY CODE |
|
LOCATION TIMEZONE |
MOUNTAIN |
COUNTRY |
USA |
TIMEZONE EXCEPTION |
SST Only |
AGENCY CODE |
VA |
POINTER TO AGENCY |
VA |
IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1477511590
|