| Organization Name: | WEST VALLEY PHARMACY, LLC |
| NPI Number: | 1003244526 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GLORIA IFEOMA UCHENDU (MANAGER) |
| Mailing Address: | 12851 W Bell Rd Suite 110 Surprise |
| State: | AZ US |
| Postal Code: | 853789600 |
| Phone Number: | 6235336514 |
| Fax Number: | 6235182860 |
| NPI Enumeration Date: | 10/18/2013 |
| NPI Last Update Date: | 08/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |