Organization
VALLE VERDE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LINDBERG PHARM.D. (PHARMACY MANAGER)
(831) 728-2239
Entity
Organization
Contact information
Practice address
240 GREEN VALLEY RD, FREEDOM, CA 95019-3137
(831) 728-2239
(831) 728-9386
Mailing address
240 GREEN VALLEY RD, FREEDOM, CA 95019-3137
(831) 728-2239
(831) 728-9386
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY21728
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0567644
NABP NUMBER
—
01
—
PHY21728
PHARMACY LICENSE
CA
Enumeration date
12/05/2005
Last updated
03/07/2023
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