Provider Demographics
NPI:1598183816
Name:VALLEY PHARMACY INC
Entity Type:Organization
Organization Name:VALLEY PHARMACY INC
Other - Org Name:DOANE'S SENIOR CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASTON LOCKREM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-888-6650
Mailing Address - Street 1:108 ELBERTA AVE.
Mailing Address - Street 2:
Mailing Address - City:CASHMERE
Mailing Address - State:WA
Mailing Address - Zip Code:98815
Mailing Address - Country:US
Mailing Address - Phone:509-888-6650
Mailing Address - Fax:509-782-3262
Practice Address - Street 1:108 ELBERTA AVE
Practice Address - Street 2:
Practice Address - City:CASHMERE
Practice Address - State:WA
Practice Address - Zip Code:98815-1090
Practice Address - Country:US
Practice Address - Phone:509-888-6650
Practice Address - Fax:509-782-3262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-03
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA604683303336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2145249OtherPK