Organization
EMERALD VALLEY RX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA STUCKEY PHARM D (OWNER)
(541) 359-3334
Entity
Organization
Contact information
Practice address
176 MELTON RD, CRESWELL, OR 97426-9453
(406) 544-9931
Mailing address
PO BOX 595, CRESWELL, OR 97426-0595
(541) 359-3334
(833) 384-2630
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
05/23/2022
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