Village Supermarket of Maryland, LLC
NPI #1184918492 in Lutherville Timonium, Maryland
Provider Information
- NPI Number
- 1184918492
- Entity Type
- Organization
- Organization Name
- Village Supermarket of Maryland, LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 3, 2011
- Last Updated
- Aug 10, 2012
Practice Location
- Address
- 37 W AYLESBURY RD
- State
- Maryland
- ZIP Code
- 21093-4102
- Phone
- (973) 467-2200
Authorized Official
- Name
- MELISSA FIGUEROA RIVERA
- Title
- THIRD PARTY ADMINISTRATOR
- Phone
- (732) 521-8439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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