Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI Number | 1841639960 |
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| LBN Legal business name | VILLAGE APOTHECARY, INC. | ||||||||
| Authorized official | MICHAEL BUTLER - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/21/2013 | ||||||||
| Last updated | 06/21/2013 - About 13 years ago | ||||||||
| Identifiers |
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