NAME |
LOUISVILLE PHARMACY |
STATE |
KENTUCKY |
STREET ADDR. 1 |
800 Zorn Ave. |
CITY |
Louisville |
ZIP |
40206-1433 |
OFFICIAL VA NAME |
Louisville Pharmacy |
STATUS |
National |
ASSOCIATIONS |
|
BILLING FACILITY NAME |
LOUISVILLE VAMC PHARMACY |
ST. ADDR. 1 (MAILING) |
800 Zorn Ave. |
CITY (MAILING) |
Louisville |
STATE (MAILING) |
KENTUCKY |
ZIP (MAILING) |
40206-1433 |
EFFECTIVE DATE/TIME |
-
- 2006-08-22 00:00:00
- STATUS: ACTIVE
- NPI: 1538127295
|
TAXONOMY CODE |
|
LOCATION TIMEZONE |
EASTERN |
COUNTRY |
USA |
AGENCY CODE |
VA |
POINTER TO AGENCY |
VA |
IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1538127295
|