# VALUE VILLAGE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114932720
- **Authorized official:** CARLA SOUSA (SUPERVISING PHARMACIST)
- **Authorized official phone:** (845) 278-8224

## Contact information

- **Practice address:** 1620 ROUTE 22, BREWSTER, NY 10509-4051
- **Practice address phone:** (845) 278-8224
- **Practice address fax:** (845) 278-6403
- **Mailing address:** 1620 ROUTE 22, BREWSTER, NY 10509-4051
- **Mailing address phone:** (845) 278-8224
- **Mailing address fax:** (845) 278-6403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 026459 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 02/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02634788 | — | NY |
| 01 | — | 3340293 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |