Bronson Village Drug, Inc.
NPI #1639851116 in Traverse City, Michigan
Provider Information
- NPI Number
- 1639851116
- Entity Type
- Organization
- Organization Name
- Bronson Village Drug, Inc.
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Aug 3, 2023
- Last Updated
- Aug 3, 2023
Practice Location
- Address
- 3622 VETERANS DR STE 1&2
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49684-4579
- Phone
- (833) 697-0008
Authorized Official
- Name
- JEFFREY ROBERT STULL, PHARM.D.
- Title
- OWNER
- Phone
- (269) 657-6073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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