MEDICARE: VILLAGE PHARMACISTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	P00807	MD
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2102351	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851498695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE PHARMACISTS INC

Provider Business Mailing Address
First Line	:	19271 MONTGOMERY VILLAGE AVE
Second Line	:
City	:	MONTGOMERY VILLAGE
State	:	MD
Zip	:	20886-5021
Country	:	US
Telephone Number	:	301-948-8545
Fax Number	:	301-948-4198

Provider Business Practice Location Address
First Line	:	19271 MONTGOMERY VILLAGE AVE
Second Line	:
City	:	MONTGOMERY VILLAGE
State	:	MD
Zip	:	20886-5021
Country	:	US
Telephone Number	:	301-948-8545
Fax Number	:	301-948-4198

Authorized Official
Title or Position	:	PHARMACIST MANAGER
Name	:	GENE BOROWSKI
Credential	:	RPH
Telephone Number	:	301-948-8545

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	12/27/2012

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Directions to “VILLAGE PHARMACISTS INC ” Practice Location

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