Three Rivers Village Pharmacy
LBN: Three Rivers Village Pharmacy
Three Rivers Village Pharmacy is an health care organization with primary practice located at 300 Enterprise Dr , Three Rivers MI 49093-2376. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Three Rivers Village Pharmacy can be contacted via phone (269) 279-0465, or through Murk, Steven via phone (269) 637-1517.
Contact Information
Primary practice address
300 Enterprise Dr
Three Rivers MI 49093-2376
Phone: (269) 279-0465
Fax: (269) 279-0425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 5301007506 | Michigan |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1588600498 |
|---|---|
| LBN Legal business name | Three Rivers Village Pharmacy |
| DBA Doing business as | |
| Authorized official | Murk, Steven |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Sep 11th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588600498 | NPPES |
| Michigan | MEDICAID | 235486 | |
| Michigan | Other | 2363505 |
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