Organization
VALLEY PHARMACY SOLUTIONS LLC
Active
Other names
Valley Wellness Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DIPTI PATEL (OWNER)
(304) 932-0032
Entity
Organization
Contact information
Practice address
3715 MACCORKLE AVE SE, CHARLESTON, WV 25304
(304) 932-0032
(304) 932-0912
Mailing address
3715 MACCORKLE AVE SE, CHARLESTON, WV 25304-1525
(304) 932-0032
(304) 932-0912
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552502
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158442
PK
—
Enumeration date
02/02/2016
Last updated
06/29/2018
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