Organization
EMERALD VALLEY RX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA STUCKEY (OWNER)
(541) 359-3334
Entity
Organization
Contact information
Practice address
176 MELTON RD, CRESWELL, OR 97426-9453
(541) 359-3334
(833) 384-2630
Mailing address
176 MELTON RD, CRESWELL, OR 97426-9453
(541) 359-3334
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/14/2022
Last updated
05/14/2022
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