Provider Demographics
NPI:1194489278
Name:VALLEY PHARMACY LLC
Entity type:Organization
Organization Name:VALLEY PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PIC/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:ZALEHA
Authorized Official - Suffix:III
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:203-734-9455
Mailing Address - Street 1:16 HOMESTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:CT
Mailing Address - Zip Code:06418-2504
Mailing Address - Country:US
Mailing Address - Phone:203-892-2633
Mailing Address - Fax:
Practice Address - Street 1:74 PERSHING DR STE 1B
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:CT
Practice Address - Zip Code:06418-1458
Practice Address - Country:US
Practice Address - Phone:203-734-9455
Practice Address - Fax:203-734-9456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy