Organization · NPI-2

Good Health INC

Pharmacy, Community/Retail Pharmacy · Mount Vernon, WA

NPI number1700907268
StatusActive
Last updated in NPPESJul 14, 2011

Details

NPI
1700907268
Entity type
Organization (NPI-2)
Legal business name
Good Health INC
Organization subpart
No
Enumeration date
Apr 3, 2007
Last updated
Jul 14, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHARCF00005440WAYes
3336C0004X Pharmacy, Compounding Pharmacy––
333600000X Pharmacy––

Other names

  • Valley Pharmacy (Doing Business As)

Practice location

221 S 1st St
Mount Vernon, WA 98273-3802

Phone 360-336-9658 · Fax 360-336-9659

Mailing address

221 S 1st St
Mount Vernon, WA 98273-3802

Phone 360-336-9658 · Fax 360-336-9659

Authorized official

Monte Levaque
Owner
3603369658

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