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Organization

VALLEY PHARMACY LLC

Active
Other names
VALLEY PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
AMAR CHANDALURI RPH (OWNER, PIC, AO)
(775) 200-0945
Entity
Organization

Contact information

Practice address
5055 SUN VALLEY BLVD STE 210, SUN VALLEY, NV 89433-8299
(775) 200-0945
(775) 288-5199
Mailing address
5055 SUN VALLEY BLVD STE 210, SUN VALLEY, NV 89433-8299
(775) 200-0945
(775) 288-5199

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PH03517
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578923876
NV
01
2158265
PK
Enumeration date
02/29/2016
Last updated
10/19/2016
About Stedi
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  • EDI platform