MEDICARE: VALLEY PHARMACY EXPRESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	CA
2	333600000X	Pharmacy	CA
3	3336C0003X	Community/Retail Pharmacy	CA

General Provider Information

NPI Number	:	1386050557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY PHARMACY EXPRESS LLC

Provider Business Mailing Address
First Line	:	835 C ST
Second Line	:	SUITE 180
City	:	GALT
State	:	CA
Zip	:	95632-2800
Country	:	US
Telephone Number	:	209-745-2564
Fax Number	:	209-745-2574

Provider Business Practice Location Address
First Line	:	835 C ST
Second Line	:	#180
City	:	GALT
State	:	CA
Zip	:	95632-2800
Country	:	US
Telephone Number	:	209-745-2564
Fax Number	:	209-745-2574

Authorized Official
Title or Position	:	PHARMACIST-IN-CHARGE
Name	:	DR. KENT TSUSAKI
Credential	:	PHARM.D.
Telephone Number	:	209-745-2564

Provider Enumeration Date	:	07/08/2014
Last Update Date	:	10/21/2025

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Directions to “VALLEY PHARMACY EXPRESS LLC ” Practice Location

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