Organization
WEST VALLEY PHARMACY LLC
Active
Other names
West Valley Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VERA ABRAMOVA (CFO)
(516) 422-8477
Entity
Organization
Contact information
Practice address
12851 W BELL RD, STE 110, SURPRISE, AZ 85378-9600
(623) 533-6514
(623) 518-2860
Mailing address
12851 W BELL RD, STE 110, SURPRISE, AZ 85378-9600
(623) 533-6514
(623) 518-2860
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH03717
NV
3336C0003X
Community/Retail Pharmacy
Primary
Y007035
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167206
PK
—
05
—
886564
—
AZ
Enumeration date
10/18/2013
Last updated
07/19/2018
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