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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