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Organization
VG'S PHARMACY INC
Active
Organization
VG'S PHARMACY INC
Active
Other names
VG's Pharmacy #1
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYON C HIGGINS R.PH. (PHARMACY PRODUCT DIRECTOR)
(810) 629-1383
Entity
Organization
Contact information
Practice address
18005 SILVER PKWY, FENTON, MI 48430-3421
(810) 750-1572
(810) 629-9732
Mailing address
18005 SILVER PKWY, FENTON, MI 48430-3421
(810) 750-1572
(810) 629-9732
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5301004645
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2342373
NABP/NCPDP
MI
05
—
3266375
—
MI
Enumeration date
08/31/2006
Last updated
11/19/2007
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