Organization
TWIN VALLEY PHARMACY INC
Active
Other names
TWIN VALLEY PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY SCOTT RPH (PRESIDENT)
(269) 964-9467
Entity
Organization
Contact information
Practice address
1250 COLUMBIA AVE E, STE B-1, BATTLE CREEK, MI 49014-5159
(269) 964-9467
(269) 964-2866
Mailing address
1250 COLUMBIA AVE E, STE B-1, BATTLE CREEK, MI 49014-5159
(269) 964-9467
(269) 964-2866
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301002773
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2039893
PK
—
05
—
2524671
—
MI
Enumeration date
03/02/2007
Last updated
06/13/2017
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