Valle Verde Pharmacy, Inc

LBN: Valle Verde Pharmacy, Inc
Valle Verde Pharmacy, Inc is an health care organization with primary practice located at 240 Green Valley Rd , Freedom CA 95019-3137. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Valle Verde Pharmacy, Inc can be contacted via phone (831) 728-2239, or through Dembski, Thomas F via phone (831) 426-0200.

Contact Information

Primary practice address
240 Green Valley Rd Freedom CA 95019-3137
Fax: (831) 728-9386
Website:
Authorized official contact:
Name: Dembski, Thomas F

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X PHY21728 California

Profile Details

NPI number 1528106994
LBN Legal business name Valle Verde Pharmacy, Inc
DBA Doing business as
Authorized official Dembski, Thomas F
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Aug 22nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528106994 NPPES
California Other 05-67644 NABP
California Other PHY21728 NABP
California MEDICAID PHA217280 NABP

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