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Centerville Village Pharmacy

Centerville Village Pharmacy is a health care provider in Centreville, MI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 666 E Main St, Centreville, MI 49032-9803, US
Practice Location Phone269-467-6354
Practice Location Fax269-467-8503
Legal Business NameCENTERVILLE VILLAGE PHARMACY
Other Organization NameCENTERVILLE VILLAGE PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1508953795
Entity TypeOrganization
Enumeration Date ? Oct 7, 2006
Last Update Date ? Apr 29, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Centerville Village Pharmacy

SpecialtySpecializationLicenseLicense State
Pharmacy
PharmacyCommunity/Retail Pharmacy 5301007448Michigan

legacy-id-icon Legacy Provider IDs of Centerville Village Pharmacy

Provider IdIssuer StateIssuer TypeIssuer
2354861OtherNCPDP PROVIDER IDENTIFICATION NUMBER
2354861MichiganMedicaid

official-icon Authorized Official of Centerville Village Pharmacy

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Centerville Village Pharmacy's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Charles Thompson (PHARMACIST)
Authorized Official Title/PositionPHARMACIST
Authorized Official Phone Number269-467-6354