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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