Valley Medical Shoppe INC

NPI #1902853096 in Blackfoot, Idaho

Provider Information

NPI Number: 1902853096
Entity Type: Organization
Organization Name: Valley Medical Shoppe INC
Subpart: Yes (part of a larger organization)
Parent Organization: VALLEY MEDICAL SHOPPE INC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: May 27, 2006
Last Updated: Sep 10, 2009

Practice Location

Address: 1350 PARKWAY DR
Address 2: STE 26
City: Blackfoot
State: Idaho
ZIP Code: 83221-1657
Phone: (208) 782-0456

Authorized Official

Name: MR. GARY W AIMAN
Title: OWNER
Phone: (208) 356-7913

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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