Organization
RICHLAND VILLAGE DRUG INC
Active
Organization
RICHLAND VILLAGE DRUG INC
Active
Other names
RICHLAND VILLAGE DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BRADLEY (VICE PRESIDENT)
(269) 629-9550
Entity
Organization
Contact information
Practice address
8900 GULL RD, RICHLAND, MI 49083-9310
(269) 629-9550
(269) 629-9065
Mailing address
PO BOX 367, RICHLAND, MI 49083-0367
(269) 629-9550
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301002395
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2041085
PK
—
05
—
2537016
—
MI
Enumeration date
11/02/2006
Last updated
12/18/2016
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