MEDICARE: VALLEY DRUG CO

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	60157204	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4933734	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1407168461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY DRUG CO

Provider Business Mailing Address
First Line	:	PO BOX 107
Second Line	:
City	:	CHEWELAH
State	:	WA
Zip	:	99109-0107
Country	:	US
Telephone Number	:	509-935-8611
Fax Number	:	509-935-6983

Provider Business Practice Location Address
First Line	:	5919 HIGHWAY 291 STE 5
Second Line	:
City	:	NINE MILE FALLS
State	:	WA
Zip	:	99026-9525
Country	:	US
Telephone Number	:	509-935-8611
Fax Number	:	509-935-6983

Authorized Official
Title or Position	:	OWNER
Name	:	KEVIN HERDA
Credential	:
Telephone Number	:	509-935-8611

Provider Enumeration Date	:	07/07/2010
Last Update Date	:	07/07/2010

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1235189135 — PHASE 1 PHYSICAL THERAPY PS
Practice Location Address:

5928 HIGHWAY 291
NINE MILE FALLS, WA
99026-9525

Practice Phone: 509-465-5663
Practice Fax: 509-467-8663

1003866658 — JOEL T SAN NICOLAS PT
Practice Location Address:

5928 HIGHWAY 291
NINE MILE FALLS, WA
99026-9525

Practice Phone: 509-465-5663
Practice Fax: 509-467-8663

1366832206 — SEQUEL YOUTH SERVICES OF ALBION, LLC
Practice Location Address:

13725 26 MILE RD
ALBION, MI
49224-9525

Practice Phone: 517-629-5591
Practice Fax:

1972765568 — MS. KATHY W PUCKETT M.S., CCC-SLP
Practice Location Address:

150 SKINNER RD
SHELBURNE FALLS, MA
01370-9525

Practice Phone: 413-625-8137
Practice Fax:

1336800655 — ERIN NATASHA LUTZ
Practice Location Address:

1554 NEWTON FALLS PORTAGE RD
NEWTON FALLS, OH
44444-9525

Practice Phone: 330-646-4409
Practice Fax:

Directions to “VALLEY DRUG CO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.