Organization

Village Drug Store

May also be knows as Village Drug Store Inc

Long Term Care Pharmacy in Crawfordsville, IN(View on Map)

Legal Business Name

Village Drug Store

Also Known As

Village Drug Store Inc

NPI Number

1497805717

NPI Type

Organization

Enumeration Date

01/11/2007

Specialties

(Taxonomies)

Code

3336L0003X
333600000X

Primary Taxonomy

Yes
No

Licenses

State

Indiana

License Number

60002857A

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 661
1313 HOMEWOOD DR

City

Crawfordsville
Crawfordsville

State

IN
IN

Postal Code

47933-0661
47933-3341

Country

US
US

Telephone Number

(765) 364-0324
(765) 364-0324

Authorized Official

Name

Joseph Petricek

Title or Position

MANAGER

Telephone Number

(765) 364-0324

Identifiers

Identifier

1520887
100294590A

Identifier State

Unknown
IN

Identifier Issuer

NCPDP PROVIDER IDENTIFICATION NUMBER
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/26/2011

Provider Address

Other Long Term Care Pharmacy in Crawfordsville, Indiana:

Organization

Village Apothecary At Williamsburg

May also be known as Village Apothecary At Williamsburg
Crawfordsville, IN

Specialties: Long Term Care Pharmacy (Primary)Durable Medical Equipment & Medical SuppliesNursing Facility Supplies (DME)Oxygen Equipment & Supplies (DME)Pharmacy