Provider Demographics
NPI:1306300934
Name:VALENTINE PHARMACY CONSULTANT SERVICES LLC
Entity type:Organization
Organization Name:VALENTINE PHARMACY CONSULTANT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLIN PHARMACIST/PHARM CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAUNCEIA
Authorized Official - Middle Name:JANEA
Authorized Official - Last Name:HUGHLEY-VALENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:314-616-2388
Mailing Address - Street 1:804 MULE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-7408
Mailing Address - Country:US
Mailing Address - Phone:314-616-2388
Mailing Address - Fax:
Practice Address - Street 1:804 MULE CREEK DR
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-7408
Practice Address - Country:US
Practice Address - Phone:314-616-2388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALENTINE PHARMACY CONSULTANT SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site