Pleasant Valley Pharmacy

LBN: Douglas M & Carol M Wells
Pleasant Valley Pharmacy is an health care organization with primary practice located at 11260 Pleasant Valley Rd , Penn Valley CA 95946-9413. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Douglas M & Carol M Wells can be contacted via phone (530) 432-3921, or through Wells, Doug via phone (530) 432-3921.

Contact Information

Primary practice address
11260 Pleasant Valley Rd Penn Valley CA 95946-9413
Phone: (530) 432-3921
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wells, Doug RPH
Phone: (530) 432-3921

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY35940 California

Profile Details

NPI number 1003816083
LBN Legal business name Douglas M & Carol M Wells
DBA Doing business as Pleasant Valley Pharmacy
Authorized official Wells, Doug RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2005
Last updated Mar 3rd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003816083 NPPES
Other 2000531 PK
MEDICAID PHA359400 PK

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