Organization
VINELAND FOODLAND INC
Active
Other names
Roger's Foodland
Organization subpart
No
Provider details
NPI number
Authorized official
PAM SEELY (OWNER/SECRETARY)
(269) 429-9661
Entity
Organization
Contact information
Practice address
4039 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9156
(269) 408-1348
(269) 408-1381
Mailing address
4039 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9156
(269) 408-1348
(269) 408-1381
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009399
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043531718
—
MI
01
—
2126116
PK
—
Enumeration date
06/17/2010
Last updated
01/08/2021
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