Organization
JOGNI 2
Active
Organization
JOGNI 2
Active
Other names
VALLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SANDIP G PATEL PHARM D (OWNER)
(201) 920-9145
Entity
Organization
Contact information
Practice address
647 STATE ROUTE 93 HWY STE 2, SUGARLOAF, PA 18249-2700
(570) 788-4444
(570) 708-0164
Mailing address
647 STATE ROUTE 93 HWY, SUITE 2, SUGARLOAF, PA 18249-3121
(570) 788-4444
(570) 708-0164
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP413341L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037497030001
—
PA
Enumeration date
12/01/2006
Last updated
11/18/2024
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