Organization
VALLEY VIEW PHARMACY INC
Active
Other names
VALLEY VIEW PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMIE NICHOLS RPH (PRESIDENT)
(540) 366-2112
Entity
Organization
Contact information
Practice address
4910 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2040
(540) 366-2112
(540) 366-7201
Mailing address
4910 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2040
(540) 366-2112
(540) 366-7201
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201002495
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008501432
—
VA
01
—
4822450
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/01/2006
Last updated
10/19/2012
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