Organization
PAW PAW VILLAGE DRUG, INC.
Active
Organization
PAW PAW VILLAGE DRUG, INC.
Active
Other names
Paw Paw Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JESSICA SMITH CERTIFIED TECH (CERTIFIED TECHNICIAN)
(269) 657-6073
Entity
Organization
Contact information
Practice address
322 E MICHIGAN AVE, PAW PAW, MI 49079-1408
(269) 657-6073
(269) 655-1643
Mailing address
322 E MICHIGAN AVE, PAW PAW, MI 49079-1408
(269) 657-6073
(269) 655-1643
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301003740
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2332839
NCPDP NUMBER
MI
05
—
2332839
—
MI
Enumeration date
06/26/2006
Last updated
10/06/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up