Provider Demographics
NPI:1396394839
Name:VALLEY HEALTH TEAM INC
Entity Type:Organization
Organization Name:VALLEY HEALTH TEAM INC
Other - Org Name:VHT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SOYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYNA-GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-693-2462
Mailing Address - Street 1:PO BOX 737
Mailing Address - Street 2:
Mailing Address - City:SAN JOAQUIN
Mailing Address - State:CA
Mailing Address - Zip Code:93660-0737
Mailing Address - Country:US
Mailing Address - Phone:559-693-2462
Mailing Address - Fax:559-203-6675
Practice Address - Street 1:21890 W COLORADO AVE
Practice Address - Street 2:
Practice Address - City:SAN JOAQUIN
Practice Address - State:CA
Practice Address - Zip Code:93660-9773
Practice Address - Country:US
Practice Address - Phone:559-203-6675
Practice Address - Fax:559-226-9740
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALLEY HEALTH TEAM, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-07
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy