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Organization

VALLEY INFUSION LLC

Active
Other names
Valley Vital Care
Organization subpart
No

Provider details

NPI number
Authorized official
PRESTON ESTEP (OWNER/PHARMACIST)
(540) 569-3463
Entity
Organization

Contact information

Practice address
1115 W MAIN ST, WAYNESBORO, VA 22980-4312
(540) 569-3463
(888) 801-3124
Mailing address
1115 W MAIN ST, WAYNESBORO, VA 22980-4312
(540) 569-3463
(888) 801-3124

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201004601
VA
3336C0004X
Compounding Pharmacy
3336H0001X
Home Infusion Therapy Pharmacy
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033536883
VA
01
2145607
PK
Enumeration date
03/18/2014
Last updated
01/31/2024
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