Sarouja Gilbert Pharmacy

LBN: Val Vista Pharmacy, Llc
Sarouja Gilbert Pharmacy is an health care organization with primary practice located at 3570 S. Val Vista Drive Suite 108, Gilbert AZ 85297-7327. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Val Vista Pharmacy, Llc can be contacted via phone (480) 887-0244, or through Clark, Justin John via phone (480) 887-0244.

Contact Information

Primary practice address
3570 S. Val Vista Drive Suite 108 Gilbert AZ 85297-7327
Phone: (480) 887-0244
Fax: (480) 847-6868
Website:
Map and Directions
Authorized official contact:
Name: Clark, Justin John PHARMD
Phone: (480) 887-0244

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X Y006086 Arizona
Suppliers / Community/Retail Pharmacy 3336C0003X Y006086 Arizona
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1922401116
LBN Legal business name Val Vista Pharmacy, Llc
DBA Doing business as Sarouja Gilbert Pharmacy
Authorized official Clark, Justin John PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2014
Last updated Jan 18th, 2023 - about last year

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 1922401116 NPPES
Arizona Other Y006086 STATE PERMIT
Arizona MEDICAID 0044328 STATE PERMIT

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