Healthcare Provider Details

I. General information

NPI: 1598183816
Provider Name (Legal Business Name): VALLEY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2014
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 ELBERTA AVE
CASHMERE WA
98815-1090
US

IV. Provider business mailing address

108 ELBERTA AVE.
CASHMERE WA
98815
US

V. Phone/Fax

Practice location:
  • Phone: 509-888-6650
  • Fax: 509-782-3262
Mailing address:
  • Phone: 509-888-6650
  • Fax: 509-782-3262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number60468330
License Number StateWA

VIII. Authorized Official

Name: JEFFREY SHANE HARRELL
Title or Position: OWNER
Credential: PHARMD
Phone: 360-859-8659