Provider Demographics
NPI:1831125046
Name:VALU DISCOUNT INC
Entity Type:Organization
Organization Name:VALU DISCOUNT INC
Other - Org Name:VALUMARKET PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:BS PHARM
Authorized Official - Phone:502-327-8840
Mailing Address - Street 1:205 OAKBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:MT WASHINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40047-7688
Mailing Address - Country:US
Mailing Address - Phone:502-327-8840
Mailing Address - Fax:502-425-3641
Practice Address - Street 1:315 WHITTINGTON PKWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4911
Practice Address - Country:US
Practice Address - Phone:502-327-8840
Practice Address - Fax:502-426-3731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
KYP070893336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2034591OtherPK