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Contact Information

VALPARASIO PROFESSIONAL PHARMACY, P.C.
3540 CALUMET AVE
VALPARAISO, IN46383-2246
 Phone: 219-462-1484
 Fax: 219-465-4199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacist

183500000X
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for VALPARASIO PROFESSIONAL PHARMACY, P.C.

NPI Number 1184736027
LBN Legal business name VALPARASIO PROFESSIONAL PHARMACY, P.C.
Authorized official ELTON VANDERTUIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 11/15/2022 - About 4 years ago
Identifiers
IN License # 60005539A
IN License # 60006597
IN Medicaid 100300380
Other 2025017 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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