Healthcare Provider Details

I. General information

NPI: 1962585950
Provider Name (Legal Business Name): VALUE HEALTH CONSULTANTS INC,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 03/07/2023
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1770 SE HILLMOOR DR
PORT SAINT LUCIE FL
34952-7534
US

IV. Provider business mailing address

1770 SE HILLMOOR DR
PORT SAINT LUCIE FL
34952-7534
US

V. Phone/Fax

Practice location:
  • Phone: 772-446-1100
  • Fax: 772-489-3797
Mailing address:
  • Phone: 772-446-1100
  • Fax: 772-489-3797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: EMILY LYNN RAHEMI
Title or Position: OFFICE MANAGER
Credential:
Phone: 269-501-7034