Indian River Village Pharmacy INC
NPI #1033203310 in Indian River, Michigan
Provider Information
- NPI Number
- 1033203310
- Entity Type
- Organization
- Organization Name
- Indian River Village Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Jul 5, 2016
Practice Location
- Address
- 6433 BARBARA ST
- City
- Indian River
- State
- Michigan
- ZIP Code
- 49749-9010
- Phone
- (231) 238-8911
Authorized Official
- Name
- THOMAS BAHRA
- Title
- PRESIDENT
- Phone
- (231) 238-8911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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