Provider Demographics
NPI:1023720901
Name:VALLEY MARKETS, INCORPORATED
Entity type:Organization
Organization Name:VALLEY MARKETS, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGNUSON NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-738-2953
Mailing Address - Street 1:300 1ST ST WEST
Mailing Address - Street 2:
Mailing Address - City:FOSSTON
Mailing Address - State:MN
Mailing Address - Zip Code:56542
Mailing Address - Country:US
Mailing Address - Phone:218-435-1000
Mailing Address - Fax:218-435-1100
Practice Address - Street 1:300 1ST ST WEST
Practice Address - Street 2:
Practice Address - City:FOSSTON
Practice Address - State:MN
Practice Address - Zip Code:56542
Practice Address - Country:US
Practice Address - Phone:218-435-1000
Practice Address - Fax:218-435-1100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy