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Organization

NEW MIDDLETOWN VILLAGE PHARMACY INC.

Active
Other names
VILLAGE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MARK WILLIAM JOHNSON RPH (PHARMACY MANAGER)
(330) 542-2802
Entity
Organization

Contact information

Practice address
10395 MAIN ST, NEW MIDDLETOWN, OH 44442-0289
(330) 542-2802
(330) 542-2035
Mailing address
PO BOX 289, NEW MIDDLETOWN, OH 44442-0289
(330) 542-2802
(330) 542-2035

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
020115550
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020115550
DANGEROUS DRUG LICENSE
OH
01
3623318
NABP
05
9064506
OH
Enumeration date
11/13/2006
Last updated
05/24/2023
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