| NPI | 1881712701 |
|---|---|
| Doing Business As | VALOR COMPOUNDING PHARMACY |
| Former Legal Business Name | WELLSPRING COMPOUNDING PHARMACY, INC |
| Doing Business As | WELLSPRING COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICHARD T. NIEMI CEO 916-622-0267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PHY55419) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-09-28 |