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General NPI Number Information
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NPI Number | 1891871059
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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 | 10/31/2006
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Last Update Date | 12/12/2018
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Provider Practice Location Address
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Address Line | 211 W 33RD ST
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City | KEARNEY
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State | NE
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Zip | 68845
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Country | US
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Telephone | 308-234-3300
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Fax | 308-234-1599
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Provider Business Mailing Address
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Address Line | 211 W 33RD ST
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City | KEARNEY
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State | NE
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Zip | 68845
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Country | US
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Telephone | 308-234-3300
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Fax | 308-234-1599
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | CHRISTOPHER MICHAEL WATTS
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Credential | PHARMD
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Telephone | 308-234-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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