Organization
VALLEY APOTHECARY INC
Active
Other names
VALLEY APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD HOUCK (PHARMACIST OWNER)
(540) 772-3788
Entity
Organization
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3788
(540) 776-2090
Mailing address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3788
(540) 776-2090
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201003733
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2105078
PK
—
05
—
8504539
—
VA
Enumeration date
06/18/2006
Last updated
12/01/2016
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