Organization
JOHN MINTER
Active
Other names
Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA B MOORE (PHARMACIST)
(334) 756-3092
Entity
Organization
Contact information
Practice address
4103 20TH AVE, VALLEY, AL 36854-3448
(334) 756-3092
(334) 756-9024
Mailing address
4103 20TH AVE, VALLEY, AL 36854-3448
(334) 756-3092
(334) 756-9024
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
109903
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001389
—
AK
Enumeration date
09/12/2007
Last updated
07/29/2008
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