| NPI | 1972658151 |
|---|---|
| Doing Business As | VALLEY VISTA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MIKE VICK PIC 909-908-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY48290) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY48290) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-08-13 |