| NPI | 1043683568 |
|---|---|
| Doing Business As | VILLAGE APOTHECARY AT WILLIAMSBURG |
| Entity Type | Organization |
| Authorized Contact | JOSEPH PETRICEK Pharmacist In Charge 765-364-0363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IN 60006523A) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2016-09-30 |