Organization
VILLAGE APOTHECARY INC
Active
Other names
THE VILLAGE APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD GUSSICK RPH (PRESIDENT)
(920) 533-4012
Entity
Organization
Contact information
Practice address
110 W MAIN ST, CAMPBELLSPORT, WI 53010-2704
(920) 533-4012
(920) 533-4012
Mailing address
110 W MAIN ST, CAMPBELLSPORT, WI 53010-2704
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5998042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33008900
—
WI
01
—
5113636
OTHER ID NUMBER
—
Enumeration date
02/02/2007
Last updated
09/12/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up