Provider Demographics
NPI:1538579503
Name:VALUED CHOICE PHARMACY CORP
Entity type:Organization
Organization Name:VALUED CHOICE PHARMACY CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MYHANH
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-881-0600
Mailing Address - Street 1:5537 SHELDON RD STE Y
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-3173
Mailing Address - Country:US
Mailing Address - Phone:813-881-0600
Mailing Address - Fax:813-881-0700
Practice Address - Street 1:5537 SHELDON RD STE Y
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-3173
Practice Address - Country:US
Practice Address - Phone:813-881-0600
Practice Address - Fax:813-881-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH272753336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2145478OtherPK