# PEACHLAND PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VALENCIA PHARMACY LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700952306
- **Authorized official:** ARAM PENARANDA (CFO/OWNER)
- **Authorized official phone:** (619) 962-2043

## Contact information

- **Practice address:** 25050 PEACHLAND AVE \#102, NEWHALL, CA 91321
- **Practice address phone:** (661) 225-7910
- **Practice address fax:** (661) 255-6798
- **Mailing address:** 25050 PEACHLAND AVE \#102, NEWHALL, CA 91321
- **Mailing address phone:** (619) 962-2043
- **Mailing address fax:** (661) 255-6798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PHY 48891 | CA | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 11/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0526600 | NCPDP | — |