Organization
VALLEY DRUG CO
Active
Other names
Kettle Falls Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN HERDA (OWNER)
(509) 935-8611
Entity
Organization
Contact information
Practice address
280 W 3RD AVE, KETTLE FALLS, WA 99141-0435
(509) 738-2223
(509) 738-2559
Mailing address
PO BOX 435, KETTLE FALLS, WA 99141-0435
(509) 738-2223
(509) 738-2559
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF58956
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4914431
NCPDP
—
05
—
6092803
—
WA
Enumeration date
03/06/2007
Last updated
08/31/2023
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