# CENTRAL VALLEY LONGTERM CARE PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL VALLEY LONGTERM CARE PHARMACY, INC.
- **Other names:** VALLEY PHARMACY SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376640110
- **Legal business name:** CENTRAL VALLEY LONGTERM CARE PHARMACY, INC.
- **Authorized official:** MS. BONNIE J WOLFE (CEO)
- **Authorized official phone:** (559) 635-2674

## Contact information

- **Practice address:** 500 N GARDEN STREET, STE 4, VISALIA, CA 93291-5067
- **Practice address phone:** (559) 635-2674
- **Practice address fax:** (559) 635-2681
- **Mailing address:** 500 N GARDEN STREET, STE 4, VISALIA, CA 93291-5067
- **Mailing address phone:** (559) 635-2674
- **Mailing address fax:** (559) 635-2681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHY44580 | CA | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 05/03/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2094390 | PK | — |
| 05 | — | PHA445800 | — | CA |