| NPI | 1396893095 |
|---|---|
| Doing Business As | NORTHEAST VALLEY HEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WYARD CEO 818-898-1388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY17330) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2018-07-19 |