VILLAGES PHARMACY (4141)    INSTITUTION (4)

Name Value
NAME VILLAGES PHARMACY
STATE FLORIDA
STREET ADDR. 1 8900 SE 165TH MULBERRY LN
CITY THE VILLAGES
ZIP 32162-5884
OFFICIAL VA NAME VILLAGES PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME VILLAGES VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2010-09-29 00:00:00
    STATUS:   ACTIVE
    NPI:   1245549930
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA