Organization
VALLEY APOTHECARY
Active
Other names
VALLEY APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LATHROP (PRESIDENT)
(402) 359-2284
Entity
Organization
Contact information
Practice address
123 E GARDINER ST, SUITE A, VALLEY, NE 68064-9798
(402) 359-2284
(402) 359-2285
Mailing address
PO BOX 630, VALLEY, NE 68064-0630
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
2481
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2055605
PK
—
Enumeration date
09/10/2014
Last updated
09/10/2014
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