Organization
PAW PAW VILLAGE DRUG, INC.
Active
Other names
Colon Village Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ROBERT STULL PHARM.D. (OWNER)
(269) 657-6073
Entity
Organization
Contact information
Practice address
131 S BLACKSTONE AVE, COLON, MI 49040-9398
(269) 432-3435
Mailing address
322 E MICHIGAN AVE, PAW PAW, MI 49079-1408
(269) 657-6073
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301007449
PHARMACY LICENSE
MI
Enumeration date
12/27/2021
Last updated
08/12/2025
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