Organization
MURKS VILLAGE MARKET INC
Active
Other names
Gobles Village Market Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LONGTIN (OPERATIONS MANAGER)
(269) 637-8655
Entity
Organization
Contact information
Practice address
407 S STATE ST # M-40, GOBLES, MI 49055-9724
(269) 628-0035
(269) 628-0037
Mailing address
407 S STATE ST # M-40, GOBLES, MI 49055-9724
(269) 628-0035
(269) 628-0037
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010157
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301010157
STATE LICENSE NUMBER
MI
Enumeration date
08/30/2013
Last updated
08/30/2013
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