Organization
VAL VISTA PHARMACY
Active
Other names
SAROUJA GILBERT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN JOHN CLARK PHARMD (OWNER/PHARMACIST IN CHARGE)
(480) 887-0244
Entity
Organization
Contact information
Practice address
3570 S. VAL VISTA DR. STE 108, GILBERT, AZ 85297-7327
(480) 887-0244
(480) 847-6868
Mailing address
3570 S. VAL VISTA DR. STE 108,, GILBERT, AZ 85297-7327
(480) 887-0244
(480) 847-6868
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Y006086
AZ
3336C0003X
Community/Retail Pharmacy
Primary
Y006086
AZ
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044328
—
AZ
01
—
Y006086
STATE PERMIT
AZ
Enumeration date
10/01/2014
Last updated
01/27/2026
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