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VALLEY PROFESSIONAL PHARMACY LLC NPI 1396732244


NPI Information

NPI: 1396732244
Provider Name: VALLEY PROFESSIONAL PHARMACY LLC
Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
234 E 1ST N
REXBURG, ID
ZIP 83440
Phone: (208) 356-6534
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VALLEY PROFESSIONAL PHARMACY LLC is a home infusion therapy pharmacy pharmacy in Rexburg, ID. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. VALLEY PROFESSIONAL PHARMACY LLC NPI is 1396732244. The provider is registered as an organization entity type.

The provider's business location address is:

234 E 1ST N
REXBURG, ID
ZIP 83440-616
Phone: (208) 356-6534
Fax: (208) 356-6390

The provider's authorized official is Neil Stoddard .
The authorized official title is Owner Pharmacist and has the following contact phone number (208) 356-6534.

The enumeration date for this NPI number is 10/4/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336H0001XPharmacyHome Infusion Therapy PharmacyYes
23336C0003XPharmacyCommunity/Retail PharmacyX
3333600000XPharmacy1772CPIDAHOX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11304980OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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