Bronson Village Drug, Inc.

LBN: Bronson Village Drug, Inc.
Bronson Village Drug, Inc. is an health care organization with primary practice located at 108 E Delaware St , Decatur MI 49045-1151. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Bronson Village Drug, Inc. can be contacted via phone (269) 423-6770, or through Stull, Jeffrey Robert via phone (269) 655-4402.

Contact Information

Primary practice address
108 E Delaware St Decatur MI 49045-1151
Phone: (269) 423-6770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stull, Jeffrey Robert PHARM.D.
Phone: (269) 655-4402

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1558021931
LBN Legal business name Bronson Village Drug, Inc.
DBA Doing business as
Authorized official Stull, Jeffrey Robert PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2021
Last updated Dec 27th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558021931 NPPES
Michigan Other 5301010068 PHARMACY LICENSE

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