Organization
VALLEY FALLS PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RZIHA PHARMD (OWNER)
(785) 945-3711
Entity
Organization
Contact information
Practice address
320 BROADWAY ST, VALLEY FALLS, KS 66088-1302
(785) 945-3711
(785) 945-6156
Mailing address
PO BOX 267, HERINGTON, KS 67449-0267
(785) 945-3711
(785) 945-6156
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-103438
KS
3336C0004X
Compounding Pharmacy
2-103438
KS
3336L0003X
Long Term Care Pharmacy
2-103438
KS
3336S0011X
Specialty Pharmacy
2-103438
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-103438
STATE PHARMACY LICENSE
KS
05
—
201165780A
—
KS
Enumeration date
07/18/2017
Last updated
02/17/2021
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