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General NPI Number Information
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NPI Number | 1629633912
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Entity Type | Organization
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Legal Business Name | VILLAGE PHARMACY HEALTHCARE INC
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 157 E MAIN ST
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City | ELLSWORTH
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State | WI
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Zip | 54011
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Country | US
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Telephone | 715-504-3665
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Fax | 715-504-3666
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Provider Business Mailing Address
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Address Line | PO BOX 15
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City | BALDWIN
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State | WI
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Zip | 54002-0015
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Country | US
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Telephone | 715-684-2674
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Fax | 715-684-4076
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DAVID P WILLINK
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Credential | PHARM.D.
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Telephone | 715-684-2674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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