BRONSON VILLAGE DRUG INC. NPI 1639851116

NPI Information

NPI: 1639851116
Provider Name: BRONSON VILLAGE DRUG, INC.
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
3622 VETERANS DR STE 1&2
TRAVERSE CITY, MI
ZIP 49684
Phone: (833) 697-0008
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BRONSON VILLAGE DRUG, INC. is a long term care pharmacy pharmacy in Traverse City, MI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. BRONSON VILLAGE DRUG, INC. NPI is 1639851116. The provider is registered as an organization entity type.

The provider's business location address is:

3622 VETERANS DR STE 1&2
TRAVERSE CITY, MI
ZIP 49684-579
Phone: (833) 697-0008

The provider's authorized official is Jeffrey Robert Stull .
The authorized official title is Owner and has the following contact phone number (269) 657-6073.

The enumeration date for this NPI number is 8/3/2023 and was last updated on 8/3/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336L0003X	Pharmacy	Long Term Care Pharmacy			Yes

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: 5/5/2024

NPI Synchronization or Removal

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