Organization
NORTH VALLEY PHARMACY AND MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NDUBISI OGUEJIOFOR (PIC)
(818) 365-5300
Entity
Organization
Contact information
Practice address
11541 LAUREL CANYON BLVD STE C, SAN FERNANDO, CA 91340-4602
(818) 365-5300
Mailing address
11541 LAUREL CANYON BLVD STE C, SAN FERNANDO, CA 91340-4602
(818) 365-5300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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