VALOR COMPOUNDING PHARMACY, INC

Compounding Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner?s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

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Contact Information

VALOR COMPOUNDING PHARMACY, INC

2461 SHATTUCK AVE.
BERKELEY, CA 94704

Phone: 510-548-8777
Fax: 510-548-0305
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Compounding Pharmacy	3336C0004X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for VALOR COMPOUNDING PHARMACY, INC

NPI # 1881712701

LBN Legal business name VALOR COMPOUNDING PHARMACY, INC

Authorized official RICHARD NIEMI - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/27/2007

Last updated 09/28/2020 - About 6 years ago

Identifiers

CA	License #	PHY55419
	Other	2160470	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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