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Contact Information

BRONSON VILLAGE DRUG, INC.
25344 RED ARROW HWY
MATTAWAN, MI49071-9742
 Phone: 269-668-1449
 Fax: 888-498-1343
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BRONSON VILLAGE DRUG, INC.

NPI # 1699340539
LBN Legal business name BRONSON VILLAGE DRUG, INC.
Authorized official JEFFREY STULL - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2021
Last updated 03/07/2023 - About 3 years ago
Identifiers
MI Other 5315226820 STATE OF MICHIGAN PHARMACY LICENSE
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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