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General NPI Number Information
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NPI Number | 1215262423
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Entity Type | Organization
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Legal Business Name | WEST VALLEY PHARMACY
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Dates
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Enumeration Date | 10/06/2009
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Last Update Date | 12/26/2014
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Provider Practice Location Address
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Address Line | 6320 W UNION HILLS DR STE 1200 B
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City | GLENDALE
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State | AZ
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Zip | 85308-1096
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Country | US
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Telephone | 623-561-0710
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Fax | 623-566-5886
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Provider Business Mailing Address
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Address Line | 6320 W UNION HILLS DR STE 1200 B
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City | GLENDALE
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State | AZ
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Zip | 85308-1096
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Country | US
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Telephone | 623-561-0710
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Fax | 623-566-5886
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Authorized Official
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Title or Position | PHARMACIST
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Name | GLORIA UCHENDU
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Credential | PHARM D
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Telephone | 480-310-0564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | Y005210
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License Number State | AZ
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