Organization Name: | VALLEY PHARMACY, INC DBA FARMINGTON MEDICAL SUPPLIES AND SERVICES |
NPI Number: | 1326044645 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENDA MARIE LAVIOLETTE (CEO) |
Mailing Address: | 407 Wilton Rd Suite 3 Farmington |
State: | ME US |
Postal Code: | 049386125 |
Phone Number: | 2077782520 |
Fax Number: | 2077780313 |
NPI Enumeration Date: | 06/22/2005 |
NPI Last Update Date: | 11/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0230189 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |