Valley Professional Pharmacy Llc
LBN: Valley Professional Pharmacy Llc
Valley Professional Pharmacy Llc is an health care organization with primary practice located at 234 E 1St N , Rexburg ID 83440-1616. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Valley Professional Pharmacy Llc can be contacted via phone (208) 356-6534, or through Stoddard, Neil via phone (208) 356-6534.
Contact Information
Primary practice address
234 E 1St N
Rexburg ID 83440-1616
Phone: (208) 356-6534
Fax: (208) 356-6390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 1772CP | Idaho |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X |
Profile Details
| NPI number | 1396732244 |
|---|---|
| LBN Legal business name | Valley Professional Pharmacy Llc |
| DBA Doing business as | |
| Authorized official | Stoddard, Neil |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396732244 | NPPES |
| Other | 1304980 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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