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General NPI Number Information
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NPI Number | 1194637843
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Entity Type | Organization
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Legal Business Name | VALLEY MEDICAL PHARMACY LLC
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 4020 VENOY RD STE 900A
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City | WAYNE
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State | MI
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Zip | 48184-1869
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Country | US
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Telephone | 888-873-0126
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Fax | 888-873-0126
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Provider Business Mailing Address
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Address Line | 4020 VENOY RD STE 900A
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City | WAYNE
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State | MI
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Zip | 48184-1869
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Country | US
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Telephone | 888-873-0126
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Fax | 888-873-0126
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Authorized Official
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Title or Position | MANAGER
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Name | JEFF HEATH
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Credential |
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Telephone | 888-873-0126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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