| NPI | 1215575824 |
|---|---|
| Doing Business As | VALLEYWISE COMPREHENSIVE HEALTHCARE CENTER - PEORIA |
| Entity Type | Organization |
| Authorized Contact | PAMELA S FOWLER Director Of Reimbursement 602-344-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |