Organization
NORTH VALLEY PHARMACY AND MEDICAL SUPPLIES INC
Active
Other names
NORTH VALLEY PHARMACY AND MEDICAL SUPPLIES INC
Organization subpart
No
Provider details
NPI number
Authorized official
NDUBISI OGUEJIOFOR (PHARMACIST IN CHARGE)
(818) 365-5300
Entity
Organization
Contact information
Practice address
11541 LAUREL CANYON BLVD, STE C, SAN FERNANDO, CA 91340-4115
(818) 365-5300
(818) 365-2221
Mailing address
11541 LAUREL CANYON BLVD, STE C, SAN FERNANDO, CA 91340-4115
(818) 365-5300
(818) 365-2221
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY48923
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255509741
—
CA
01
—
2113106
PK
—
Enumeration date
02/19/2008
Last updated
11/17/2020
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