Organization
VILLAGE APOTHECARY INC
Active
Organization
VILLAGE APOTHECARY INC
Active
Other names
VILLAGE SAVMOR APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GRAHAM (MANAGER PHARMACY SERVICES)
(248) 348-1570
Entity
Organization
Contact information
Practice address
1112 S UNIVERSITY AVE, ANN ARBOR, MI 48104-2522
(734) 663-5533
(734) 663-6973
Mailing address
43155 W 9 MILE RD, NOVI, MI 48375-4190
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301006026
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2352879
OTHER ID NUMBER
—
05
—
2352879
—
MI
Enumeration date
08/27/2006
Last updated
04/15/2008
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