Organization
VALLEY MEDICAL PHARMACY INC
Active
Other names
VALLEY MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHAWKI FAKIH (OWNER)
(810) 230-8252
Entity
Organization
Contact information
Practice address
G5142 MILLER RD, FLINT, MI 48507
(810) 230-8252
(810) 230-8215
Mailing address
G5142 MILLER RD, FLINT, MI 48507
(810) 230-8252
(810) 230-8215
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5315016378
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2365410
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/13/2006
Last updated
03/16/2012
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