NPI | 1457352627 |
---|---|
Doing Business As | VILLAGE PHARMACY |
Entity Type | Organization |
Authorized Contact | DICK STORSETH Pres And PIC 806-352-5624 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TX 04953) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2005-08-09 |
Last Update Date | 2007-07-31 |