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General NPI Number Information
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NPI Number | 1952852857
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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 | 10/17/2016
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 7107 N WAYNE RD STE A
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City | WESTLAND
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State | MI
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Zip | 48185-2172
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Country | US
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Telephone | 734-729-2882
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Fax | 734-729-6546
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Provider Business Mailing Address
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Address Line | 7107 N WAYNE RD STE A
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City | WESTLAND
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State | MI
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Zip | 48185-2172
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Country | US
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Telephone | 313-433-2390
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Fax | 734-729-6546
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Authorized Official
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Title or Position | MANAGER
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Name | SAM A ELKHOZAI
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Credential | RPH
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Telephone | 734-729-2882
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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 | 5301011002
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License Number State | MI
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