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Organization
VALLEY MEDICAL PHARMACY
Active
Organization
VALLEY MEDICAL PHARMACY
Active
Other names
MANOR DRUG MEDICAL & MOBILITY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA Y YOSHIKAWA (VICE PRESIDENT)
(559) 431-4142
Entity
Organization
Contact information
Practice address
5795 N 1ST ST, FRESNO, CA 93710-6294
(559) 431-4142
(559) 431-4357
Mailing address
5795 N 1ST ST, FRESNO, CA 93710-6294
(559) 431-4142
(559) 431-4357
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407889819
—
CA
01
—
PHY57382
STATE BOARD OF PHARMACY
CA
Enumeration date
07/09/2006
Last updated
12/12/2019
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