Healthcare Provider Details

I. General information

NPI: 1104366582
Provider Name (Legal Business Name): VALLEY HEALTH SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2017
Last Update Date: 04/06/2022
Certification Date: 04/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 MCGINNIS DR
WAYNE WV
25570-9553
US

IV. Provider business mailing address

5636 US ROUTE 60 STE 1B
HUNTINGTON WV
25705-2189
US

V. Phone/Fax

Practice location:
  • Phone: 304-399-3341
  • Fax: 304-272-6261
Mailing address:
  • Phone: 304-399-3338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ASHLEY HOUVOURAS
Title or Position: CHIEF PHARMACY OFFICER
Credential:
Phone: 304-399-3338