Organization
VALLEY MEDICAL SHOPPE INC
Active
Organization
VALLEY MEDICAL SHOPPE INC
Active
Parent organization
VALLEY MEDICAL SHOPPE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VALLEY MEDICAL SHOPPE INC
Authorized official
MR. GARY W AIMAN (OWNER)
(208) 356-7913
Entity
Organization
Contact information
Practice address
3908 WASHINGTON PARKWAY, IDAHO FALLS, ID 83404
(208) 523-3800
(208) 529-1817
Mailing address
146 N 2ND E, REXBURG, ID 83440-1620
(208) 356-7913
(208) 356-9532
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DME 225
ID
Other
Enumeration date
06/07/2006
Last updated
04/01/2008
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