Provider Demographics
NPI:1356951370
Name:VALLEY SCRIPTS
Entity type:Organization
Organization Name:VALLEY SCRIPTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:AIROLA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:209-406-3378
Mailing Address - Street 1:1150 W ROBINHOOD DR STE 2B
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5630
Mailing Address - Country:US
Mailing Address - Phone:209-406-3378
Mailing Address - Fax:
Practice Address - Street 1:1150 W ROBINHOOD DR STE 2B
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5630
Practice Address - Country:US
Practice Address - Phone:209-406-3378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy