PENSACOLA PHARMACY (2934)    INSTITUTION (4)

Name Value
NAME PENSACOLA PHARMACY
STATE FLORIDA
STREET ADDR. 1 790 VETERANS WAY
CITY PENSACOLA
ZIP 32507-1000
OFFICIAL VA NAME PENSACOLA PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PENSACOLA VAMC PHARMACY
ST. ADDR. 1 (MAILING) 790 VETERANS WAY
CITY (MAILING) PENSACOLA
STATE (MAILING) FLORIDA
ZIP (MAILING) 32507-1000
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1891743134
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1891743134