Provider Demographics
NPI:1912390402
Name:VILLAGE DRUGS INC
Entity Type:Organization
Organization Name:VILLAGE DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELLARAGIONE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:732-542-7455
Mailing Address - Street 1:1201 SYCAMORE AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-3208
Mailing Address - Country:US
Mailing Address - Phone:732-542-7455
Mailing Address - Fax:
Practice Address - Street 1:1201 SYCAMORE AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07724-3208
Practice Address - Country:US
Practice Address - Phone:732-542-7455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy