Provider Demographics
NPI:1396818126
Name:VALLEY MARKETS INC
Entity Type:Organization
Organization Name:VALLEY MARKETS INC
Other - Org Name:HUGOS FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KARPOWICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-773-0611
Mailing Address - Street 1:1310 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:CROOKSTON
Mailing Address - State:MN
Mailing Address - Zip Code:56716-1163
Mailing Address - Country:US
Mailing Address - Phone:218-281-3174
Mailing Address - Fax:218-281-3175
Practice Address - Street 1:1310 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:CROOKSTON
Practice Address - State:MN
Practice Address - Zip Code:56716-1163
Practice Address - Country:US
Practice Address - Phone:218-281-3174
Practice Address - Fax:218-281-3175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
MN2626173336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN749438600Medicaid
2048575OtherPK
MN749438600Medicaid