=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962398347
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VALLEY PHARMACY SEYMOUR LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/13/2025
-----------------------------------------------------
Last Update Date | 06/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 39 NEW HAVEN RD STE 12
-----------------------------------------------------
City | SEYMOUR
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06483-3460
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-828-0608
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 39 NEW HAVEN RD STE 12
-----------------------------------------------------
City | SEYMOUR
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06483-3460
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-828-0608
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. WILLIAM HENRY ZALEHA III
-----------------------------------------------------
Credential | PHARMD
-----------------------------------------------------
Telephone | 203-892-2633
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------