Provider Demographics
NPI:1558078501
Name:LAW, VALENTINE RENEE (RPH)
Entity Type:Individual
Prefix:MS
First Name:VALENTINE
Middle Name:RENEE
Last Name:LAW
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 CANDLER ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78210-4309
Mailing Address - Country:US
Mailing Address - Phone:210-725-3672
Mailing Address - Fax:
Practice Address - Street 1:6601 BLANCO RD STE 125
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-6105
Practice Address - Country:US
Practice Address - Phone:210-735-2323
Practice Address - Fax:210-735-2324
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31064183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist