National Provider Identifier Database

VAL VISTA PHARMACY
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

VAL VISTA PHARMACY
3570 S. VAL VISTA DR. STE 108
GILBERT, AZ85297-7327
Phone: 480-887-0244
Fax: 480-847-6868
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Mail Order Pharmacy 3336M0002X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for VAL VISTA PHARMACY

NPI Number 1922401116
Legal business name
LBN
VAL VISTA PHARMACY
Authorized official JUSTIN CLARK - (OWNER/PHARMACIST IN CHARGE)
Entity Organization
Organization subpart No
Enumeration date 10/01/2014
Last updated 01/27/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: Y006086
  • AZ Medicaid: 0044328
  • AZ Other: Y006086 STATE PERMIT

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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