Provider Demographics
NPI:1528538618
Name:VILLAGE CARE PHARMACY LLC
Entity Type:Organization
Organization Name:VILLAGE CARE PHARMACY LLC
Other - Org Name:VILLAGE CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AJAYKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GAJERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-986-8675
Mailing Address - Street 1:427 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OWOSSO
Mailing Address - State:MI
Mailing Address - Zip Code:48867-2759
Mailing Address - Country:US
Mailing Address - Phone:989-720-4545
Mailing Address - Fax:
Practice Address - Street 1:427 W MAIN ST
Practice Address - Street 2:
Practice Address - City:OWOSSO
Practice Address - State:MI
Practice Address - Zip Code:48867-2759
Practice Address - Country:US
Practice Address - Phone:989-720-4545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-30
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy