Organization
BRONSON VILLAGE DRUG, INC.
Active
Other names
Aurora Long Term Care - Traverse City
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ROBERT STULL PHARM.D. (OWNER)
(269) 657-6073
Entity
Organization
Contact information
Practice address
3622 VETERANS DR STE 1&2, TRAVERSE CITY, MI 49684-4579
(833) 697-0008
Mailing address
25344 RED ARROW HWY, MATTAWAN, MI 49071-9742
(833) 697-0008
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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