| NPI | 1497805717 |
|---|---|
| Doing Business As | VILLAGE DRUG STORE INC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH FRANK PETRICEK Manager 765-364-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IN 60002857A) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-10-26 |