Organization
VILLAGE FOODS LTD
Active
Other names
VILLAGE FOODS
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LEWIS (PRESIDENT)
(979) 691-7160
Entity
Organization
Contact information
Practice address
3030 E 29TH ST, SUITE 100, BRYAN, TX 77802-2757
(979) 846-8199
(979) 846-0413
Mailing address
3030 E 29TH ST, SUITE 100, BRYAN, TX 77802-2757
(979) 846-8199
(979) 846-0413
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26215
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145947
—
TX
01
—
2101873
PK
—
Enumeration date
01/30/2007
Last updated
08/10/2016
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