Organization
PAW PAW VILLAGE DRUG, INC.
Active
Other names
Paw Paw Village Drug-LTC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ROBERT STULL PHARM.D. (OWNER)
(269) 657-6073
Entity
Organization
Contact information
Practice address
322 E MICHIGAN AVE, PAW PAW, MI 49079-1408
(269) 657-6073
(269) 655-1643
Mailing address
322 E MICHIGAN AVE, PAW PAW, MI 49079-1408
(269) 657-6073
(269) 655-1643
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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