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Contact Information

SHERIDAN VILLAGE PHARMACY LLC
617 S MAIN
SHERIDAN, MI48884
 Phone: 989-291-3636
 Fax: 989-291-3330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SHERIDAN VILLAGE PHARMACY LLC

NPI # 1265547293
LBN Legal business name SHERIDAN VILLAGE PHARMACY LLC
Authorized official PHILIP MEITZ - (CEP)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2006
Last updated 06/17/2009 - About 17 years ago
Identifiers
MI License # 5301008424
Other 2368581 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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