NAME |
EVANSVILLE PHARMACY |
STATE |
INDIANA |
STREET ADDR. 1 |
500 EAST WALNUT ST. |
CITY |
EVANSVILLE |
ZIP |
47713-2438 |
OFFICIAL VA NAME |
EVANSVILLE PHARMACY |
STATUS |
National |
ASSOCIATIONS |
|
BILLING FACILITY NAME |
EVANSVILLE VA CBOC PHARMACY |
ST. ADDR. 1 (MAILING) |
500 EAST WALNUT ST. |
CITY (MAILING) |
EVANSVILLE |
STATE (MAILING) |
INDIANA |
ZIP (MAILING) |
47713-2438 |
EFFECTIVE DATE/TIME |
-
- 2006-08-22 00:00:00
- STATUS: ACTIVE
- NPI: 1851349062
|
TAXONOMY CODE |
|
LOCATION TIMEZONE |
CENTRAL |
COUNTRY |
USA |
AGENCY CODE |
VA |
POINTER TO AGENCY |
VA |
IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1851349062
|