Provider Demographics
NPI:1851498695
Name:VILLAGE PHARMACISTS INC
Entity Type:Organization
Organization Name:VILLAGE PHARMACISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:301-948-8545
Mailing Address - Street 1:19271 MONTGOMERY VILLAGE AVE
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-5021
Mailing Address - Country:US
Mailing Address - Phone:301-948-8545
Mailing Address - Fax:301-948-4198
Practice Address - Street 1:19271 MONTGOMERY VILLAGE AVE
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-5021
Practice Address - Country:US
Practice Address - Phone:301-948-8545
Practice Address - Fax:301-948-4198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP00807333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2102351OtherOTHER ID NUMBER-COMMERCIAL NUMBER
MD012192400Medicaid
0297060001Medicare ID - Type Unspecified