NAME |
LYONS PHARMACY |
STATE |
NEW JERSEY |
STREET ADDR. 1 |
151 KNOLLCROFT ROAD |
CITY |
Lyons |
ZIP |
07939-5001 |
OFFICIAL VA NAME |
Lyons Pharmacy |
STATUS |
National |
ASSOCIATIONS |
|
BILLING FACILITY NAME |
LYONS VAMC PHARMACY |
ST. ADDR. 1 (MAILING) |
151 KNOLLCROFT ROAD |
CITY (MAILING) |
Lyons |
STATE (MAILING) |
NEW JERSEY |
ZIP (MAILING) |
07939-5001 |
EFFECTIVE DATE/TIME |
-
- 2006-08-22 00:00:00
- STATUS: ACTIVE
- NPI: 1447208442
|
TAXONOMY CODE |
|
LOCATION TIMEZONE |
EASTERN |
COUNTRY |
USA |
AGENCY CODE |
VA |
POINTER TO AGENCY |
VA |
IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1447208442
|