Organization
PAW PAW VILLAGE DRUG, INC.
Active
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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