Valor Compounding Pharmacy, Inc
Compounding Pharmacy · Berkeley, CA
Practice location
2461 Shattuck Ave.Berkeley, CA 94704
- Phone
- (510) 548-8777
- Fax
- (510) 548-0305
NPI record
- NPI
- 1881712701
- Entity type
- Organization (Type 2)
- Enumeration date
- March 27, 2007
- Last updated
- September 28, 2020
- Certified
- September 28, 2020
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X |
PHY55419 | CA |
| Pharmacy | 333600000X |
— | — |
Authorized official
- Name
- Richard T. Niemi
- Title
- CEO
- Phone
- (916) 622-0267
Other names
- Valor Compounding Pharmacy
- Wellspring Compounding Pharmacy
- Wellspring Compounding Pharmacy, Inc
- Wellspring Compounding Pharmacy, Inc
About Valor Compounding Pharmacy, Inc
Valor Compounding Pharmacy, Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Compounding Pharmacy (code 3336C0004X). The practice location is 2461 Shattuck Ave., Berkeley, CA 94704. The NPI number 1881712701 was assigned on March 27, 2007 and the record was last updated on September 28, 2020.
Valor Compounding Pharmacy, Inc lists a license in the registry: #PHY55419 (CA) for Compounding Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Richard T. Niemi, CEO.
Frequently asked questions
What is the NPI number of Valor Compounding Pharmacy, Inc?
The NPI number is 1881712701.
What is the phone number of Valor Compounding Pharmacy, Inc?
The phone number listed for the practice location is (510) 548-8777.
Where is Valor Compounding Pharmacy, Inc located?
2461 Shattuck Ave., Berkeley, CA 94704.
What is the taxonomy code for Valor Compounding Pharmacy, Inc?
The primary taxonomy code is 3336C0004X – Compounding Pharmacy; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.