Organization
VALLEY MISSION PHARMACY
Active
Organization
VALLEY MISSION PHARMACY
Active
Other names
VALLEY MISSION HOMECARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LLOYD REDMOND RPH (OWNER)
(509) 928-6400
Entity
Organization
Contact information
Practice address
12509 E MISSION AVE STE 103, SPOKANE VALLEY, WA 99216-1061
(509) 928-6400
Mailing address
12509 E MISSION AVE STE 103, SPOKANE VALLEY, WA 99216-1061
(509) 928-6400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
CF00002122
WA
3336C0003X
Community/Retail Pharmacy
Primary
CF00002122
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6184709
—
WA
Enumeration date
10/24/2006
Last updated
03/07/2023
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