Organization
VALUE VILLAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA SOUSA (SUPERVISING PHARMACIST)
(845) 278-8224
Entity
Organization
Contact information
Practice address
1620 ROUTE 22, BREWSTER, NY 10509-4051
(845) 278-8224
(845) 278-6403
Mailing address
1620 ROUTE 22, BREWSTER, NY 10509-4051
(845) 278-8224
(845) 278-6403
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
026459
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02634788
—
NY
01
—
3340293
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
02/14/2008
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