Organization
ARTHUR LEE DANIEL JR.
Active
Other names
WEST VALLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR DANIEL RPH (OWNER)
(915) 877-2124
Entity
Organization
Contact information
Practice address
6898 DONIPHAN, CANUTILLO, TX 79835
(915) 877-3124
(915) 877-1575
Mailing address
6898 DONIPHAN, PO BOX 1410, CANUTILLO, TX 79835
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
06822
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142310
—
TX
01
—
4564818
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
63321
—
NM
Enumeration date
09/27/2006
Last updated
06/14/2011
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