| NPI | 1053459040 |
|---|---|
| Doing Business As | THE VILLAGE APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | RONALD GUSSICK President 920-533-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 5998042) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-09-12 |