<Unavail>
LBN: Val Vista Pharmacy
<Unavail> is an health care organization with primary practice located at 3570 S. Val Vista Dr. Ste 108 , Gilbert AZ 85297-7327. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Val Vista Pharmacy can be contacted via phone (480) 887-0244, or through Clark, Justin John via phone (480) 887-0244.
Contact Information
Primary practice address
3570 S. Val Vista Dr. Ste 108
Gilbert AZ 85297-7327
Phone: (480) 887-0244
Fax: (480) 847-6868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | Y006086 | Arizona |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y006086 | Arizona |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1922401116 |
|---|---|
| LBN Legal business name | Val Vista Pharmacy |
| DBA Doing business as | <Unavail> |
| Authorized official | Clark, Justin John PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 1st, 2014 |
| Last updated | Jan 27th, 2026 - about 10 months 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 | 1922401116 | NPPES |
| Arizona | Other | Y006086 | STATE PERMIT |
| Arizona | MEDICAID | 0044328 | STATE PERMIT |
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