Organization
GOOD HEALTH INC
Active
Other names
VALLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MONTE LEVAQUE RPH (OWNER)
(360) 336-9658
Entity
Organization
Contact information
Practice address
221 S 1ST ST, MOUNT VERNON, WA 98273-3802
(360) 336-9658
(360) 336-9659
Mailing address
221 S 1ST ST, MOUNT VERNON, WA 98273-3802
(360) 336-9658
(360) 336-9659
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHARCF00005440
WA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4917867
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6001895
—
WA
Enumeration date
04/03/2007
Last updated
07/14/2011
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