Provider Demographics
NPI:1447857842
Name:VILLAGE PHARMACY & WELLNESS
Entity type:Organization
Organization Name:VILLAGE PHARMACY & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAVITRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:337-229-4000
Mailing Address - Street 1:PO BOX 425
Mailing Address - Street 2:
Mailing Address - City:LOREAUVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70552-0425
Mailing Address - Country:US
Mailing Address - Phone:337-229-4000
Mailing Address - Fax:337-229-4001
Practice Address - Street 1:211 MAIN STREET
Practice Address - Street 2:
Practice Address - City:LOREAUVILLE
Practice Address - State:LA
Practice Address - Zip Code:70552
Practice Address - Country:US
Practice Address - Phone:337-224-2698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy