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Valle Verde Pharmacy, Inc
Compounding Pharmacy in Freedom, California
NPI 1528106994

Valle Verde Pharmacy, Inc is a Compounding Pharmacy based in Freedom, CA and is specialized in Compounding Pharmacy. Valle Verde Pharmacy, Inc practices in Freedom, CA. The NPI Number for Valle Verde Pharmacy, Inc is 1528106994 and holds a License No. PHY21728 (California).

The current practice location address for Valle Verde Pharmacy, Inc is 240 Green Valley Rd, Freedom, CA and can be reached out via phone at 831-728-2239 and via fax at 831-728-9386.

Location: 240 Green Valley Rd, Freedom, CA, 95019-3137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528106994
Provider Name
Valle Verde Pharmacy, Inc
Credential
Provider Entity Type
Organization
Address
240 Green Valley Rd, Freedom, CA, 95019-3137
Phone Number
831-728-2239
Fax Number
831-728-9386
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05-67644 01 CA NABP
PHY21728 01 CA STATE PHARMACY LIC
PHA217280 05 CA
institution
Provider Business Practice Location Address Details
Address
240 Green Valley Rd
City
Freedom
State
California
Zip
95019-3137
Phone Number
831-728-2239
Fax Number
831-728-9386
person
Provider Business Mailing Address Details
Address
240 Green Valley Rd
City
Freedom
State
California
Zip
95019-3137
Phone Number
831-728-2239
Fax Number
831-728-9386
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
PHY21728 (California)
Definition
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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