| NPI | 1588658439 |
|---|---|
| Other Name | DBA VALLEY COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT D. WHEATLEY Pharmacist/Owner 541-889-8087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RP-OOOO347-CS) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2023-03-07 |