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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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