Organization
VALLEY PHARMACY, INC DBA FARMINGTON MEDICAL SUPPLIES AND SERVICES
Active
Organization
VALLEY PHARMACY, INC DBA FARMINGTON MEDICAL SUPPLIES AND SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRENDA MARIE LAVIOLETTE (CEO)
(207) 778-2520
Entity
Organization
Contact information
Practice address
407 WILTON RD, SUITE 3, FARMINGTON, ME 04938-6125
(207) 778-2520
(207) 778-0313
Mailing address
407 WILTON RD, SUITE 3, FARMINGTON, ME 04938-6125
(207) 778-2520
(207) 778-0313
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0230189
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003238
ANTHEM
ME
Enumeration date
06/22/2005
Last updated
11/01/2007
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