Healthcare Provider Details

I. General information

NPI: 1013014299
Provider Name (Legal Business Name): VALABCO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 11/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 ALVARADO ST
MONTEREY CA
93940-2739
US

IV. Provider business mailing address

499 ALVARADO ST
MONTEREY CA
93940-2739
US

V. Phone/Fax

Practice location:
  • Phone: 831-372-8085
  • Fax: 831-372-6426
Mailing address:
  • Phone: 831-372-8085
  • Fax: 831-372-6426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY37313
License Number StateCA

VIII. Authorized Official

Name: VINCENT CARDINALE
Title or Position: OWNER
Credential:
Phone: 831-372-8085