Organization
CENTRAL VALLEY LONGTERM CARE PHARMACY, INC.
Active
Parent organization
CENTRAL VALLEY LONGTERM CARE PHARMACY, INC.
Other names
VALLEY PHARMACY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VALLEY LONGTERM CARE PHARMACY, INC.
Authorized official
MS. BONNIE J WOLFE (CEO)
(559) 635-2674
Entity
Organization
Contact information
Practice address
500 N GARDEN STREET, STE 4, VISALIA, CA 93291-5067
(559) 635-2674
(559) 635-2681
Mailing address
500 N GARDEN STREET, STE 4, VISALIA, CA 93291-5067
(559) 635-2674
(559) 635-2681
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY44580
CA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094390
PK
—
05
—
PHA445800
—
CA
Enumeration date
09/20/2006
Last updated
05/03/2024
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