NPI | 1104719160 |
---|---|
Doing Business As | WEST VALLEY PHARMACY |
Entity Type | Organization |
Authorized Contact | SRINI MANDAVA Pharmacy Manager 509-899-6021 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2025-05-29 |
Last Update Date | 2025-06-25 |