Provider Demographics
NPI:1487765533
Name:VALLEY SCRIPTS, LLC
Entity type:Organization
Organization Name:VALLEY SCRIPTS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUILERA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-782-4900
Mailing Address - Street 1:807 N CAGE BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-3117
Mailing Address - Country:US
Mailing Address - Phone:956-782-4900
Mailing Address - Fax:956-782-4906
Practice Address - Street 1:807 NORTH CAGE
Practice Address - Street 2:STE B
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-3117
Practice Address - Country:US
Practice Address - Phone:956-782-4900
Practice Address - Fax:956-782-4906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX240513336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174766901Medicaid