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Contact Information

VALLEY PROFESSIONAL PHARMACY LLC
234 E 1ST N
REXBURG, ID83440-1616
 Phone: 208-356-6534
 Fax: 208-356-6390
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for VALLEY PROFESSIONAL PHARMACY LLC

NPI # 1396732244
LBN Legal business name VALLEY PROFESSIONAL PHARMACY LLC
Authorized official NEIL STODDARD - (OWNER PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2005
Last updated 09/11/2025 - About 9 months ago
Identifiers
ID License # 1772CP
Other 1304980 OTHER ID NUMBER-COMMERCIAL NUMBER
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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