Village Apothecary INC
NPI #1053459040 in Campbellsport, Wisconsin
Provider Information
- NPI Number
- 1053459040
- Entity Type
- Organization
- Organization Name
- Village Apothecary INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 2, 2007
- Last Updated
- Sep 12, 2007
Practice Location
- Address
- 110 W MAIN ST
- City
- Campbellsport
- State
- Wisconsin
- ZIP Code
- 53010-2704
- Phone
- (920) 533-4012
Authorized Official
- Name
- RONALD GUSSICK, RPH
- Title
- PRESIDENT
- Phone
- (920) 533-4012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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