Organization
SHERIDAN VILLAGE PHARMACY LLC
Active
Organization
SHERIDAN VILLAGE PHARMACY LLC
Active
Other names
SHERIDAN VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP MEITZ BS (CEP)
(989) 291-3636
Entity
Organization
Contact information
Practice address
617 S MAIN, SHERIDAN, MI 48884
(989) 291-3636
(989) 291-3330
Mailing address
PO BOX 314, SHERIDAN, MI 48884-0314
(989) 291-3636
(989) 291-3330
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008424
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368581
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/20/2006
Last updated
06/17/2009
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