Healthcare Provider Details

I. General information

NPI: 1548638893
Provider Name (Legal Business Name): VALLEY PHARMACIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2015
Last Update Date: 09/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 COBB ST
FARMVILLE VA
23901-2603
US

IV. Provider business mailing address

PO BOX 338 1003 DOGWOOD AVE
GROTTOES VA
24441-0338
US

V. Phone/Fax

Practice location:
  • Phone: 434-392-6106
  • Fax: 434-315-0120
Mailing address:
  • Phone: 540-689-0935
  • Fax: 540-249-0441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number0201004200
License Number StateVA

VIII. Authorized Official

Name: DANIEL ATWELL
Title or Position: PHARMACY MANAGER
Credential:
Phone: 540-249-0431