Healthcare Provider Details

I. General information

NPI: 1285717322
Provider Name (Legal Business Name): VALLEY PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 12/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 DOGWOOD AVE
GROTTOES VA
24441-1946
US

IV. Provider business mailing address

PO BOX 338
GROTTOES VA
24441-0338
US

V. Phone/Fax

Practice location:
  • Phone: 540-689-0935
  • Fax: 540-249-0441
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number0201003966
License Number StateVA

VIII. Authorized Official

Name: DANIEL ATWELL
Title or Position: PRES
Credential:
Phone: 540-689-0935