Valley Pharmacy
LBN: Good Health Inc
Valley Pharmacy is an health care organization with primary practice located at 221 S 1St St , Mount Vernon WA 98273-3802. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Good Health Inc can be contacted via phone (360) 336-9658, or through Levaque, Monte via phone (360) 336-9658.
Contact Information
Primary practice address
221 S 1St St
Mount Vernon WA 98273-3802
Phone: (360) 336-9658
Fax: (360) 336-9659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHARCF00005440 | Washington |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1700907268 |
|---|---|
| LBN Legal business name | Good Health Inc |
| DBA Doing business as | Valley Pharmacy |
| Authorized official | Levaque, Monte RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 14th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700907268 | NPPES |
| Washington | MEDICAID | 6001895 | |
| Washington | Other | 4917867 |
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