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PAW PAW VILLAGE DRUG INC. NPI 1689601916


NPI Information

NPI: 1689601916
Provider Name: PAW PAW VILLAGE DRUG, INC.

Doing Business As: PAW PAW VILLAGE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 23D1075554

Address:
322 E MICHIGAN AVE
PAW PAW, MI
ZIP 49079
Phone: (269) 657-6073
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PAW PAW VILLAGE DRUG, INC. is a community/retail pharmacy pharmacy in Paw Paw, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PAW PAW VILLAGE DRUG, INC. NPI is 1689601916. The provider is registered as an organization entity type.
The provider Is Doing Business As Paw Paw Village Pharmacy.

The provider's business location address is:

322 E MICHIGAN AVE
PAW PAW, MI
ZIP 49079-408
Phone: (269) 657-6073
Fax: (269) 655-1643

The provider's authorized official is Jessica Smith .
The authorized official title is Certified Technician and has the following contact phone number (269) 657-6073.

The CLIA number assigned to this NPI record is 23D1075554 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 10/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy5301003740MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12332839MEDICAIDMICHIGAN
22332839OTHERMICHIGANNCPDP NUMBER
30434230001MEDICARE NSCMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.