Organization
VILLAGE PHARMACY OF WHITE PIGEON INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PAUL GIERA RPH. (PRESIDENT)
(269) 483-7626
Entity
Organization
Contact information
Practice address
601 E CHICAGO RD, WHITE PIGEON, MI 49099-9731
(269) 483-7626
(269) 483-9062
Mailing address
601 E CHICAGO RD, PO BOX 595, WHITE PIGEON, MI 49099-9731
(269) 483-7626
(269) 483-9062
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301003983
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1563049
—
MI
Enumeration date
08/25/2006
Last updated
11/30/2010
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