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General NPI Number Information
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NPI Number | 1588709570
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Entity Type | Organization
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Legal Business Name | VALLEY PHARMACY INC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 12/13/2010
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Provider Practice Location Address
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Address Line | 1819 W 3500 S STE 1G
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City | WEST VALLEY CITY
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State | UT
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Zip | 84119-3457
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Country | US
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Telephone | 801-978-9655
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Fax | 801-978-0178
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Provider Business Mailing Address
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Address Line | 1819 W 3500 S STE 1G
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City | WEST VALLEY CITY
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State | UT
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Zip | 84119-3457
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Country | US
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Telephone | 801-978-9655
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Fax | 801-978-0178
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Authorized Official
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Title or Position | OWNER AND PRESIDENT
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Name | HOA NGUYEN
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Credential |
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Telephone | 801-978-9655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 313988-1703
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License Number State | UT
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