Organization
VG'S PHARMACY, INC
Active
Other names
VG's Pharmacy #15
Organization subpart
No
Provider details
NPI number
Authorized official
BRYON C HIGGINS RPH (PHARMACY PRODUCT DIRECTOR)
(810) 629-1383
Entity
Organization
Contact information
Practice address
1390 N LEROY ST, FENTON, MI 48430-2762
(810) 629-6074
Mailing address
209 S ALLOY DR, FENTON, MI 48430-3401
(810) 629-1383
(810) 750-1599
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008666
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2370055
NABP
—
05
—
5195165
—
MI
Enumeration date
07/13/2007
Last updated
11/19/2007
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