Organization
VILLAGE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANKLIN A MEASAMER RPH (OWNER)
(252) 795-3130
Entity
Organization
Contact information
Practice address
108 S MAIN ST, ROBERSONVILLE, NC 27871
(252) 795-3130
(252) 795-5511
Mailing address
PO BOX 1087, ROBERSONVILLE, NC 27871-1087
(252) 795-3130
(252) 795-5511
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
03102
NC
3336C0003X
Community/Retail Pharmacy
Primary
03102
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0585067
—
NC
01
—
3413820
NABP
NC
01
—
7700489
MEDICAID DME
NC
Enumeration date
10/12/2005
Last updated
04/20/2008
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