Organization
VILLAGE SQUARE INC.
Active
Other names
Village Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A MARENBERG R.PH. (PRESIDENT)
(419) 399-9780
Entity
Organization
Contact information
Practice address
104 N WILLIAMS ST, PAULDING, OH 45879-1281
(419) 399-9780
(419) 399-5932
Mailing address
104 N WILLIAMS ST, PAULDING, OH 45879-1281
(419) 399-9780
(419) 399-5932
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
02-1156100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2133408
—
OH
Enumeration date
07/14/2006
Last updated
12/19/2013
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