BRONSON VILLAGE DRUG, INC.
NPI 1639851116
Pharmacy - Long Term Care Pharmacy in Traverse City, MI

Active since August 03, 2023
3622 VETERANS DR STE 1&2, TRAVERSE CITY, MI 49684(833) 697-0008 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bronson Village Drug, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRONSON VILLAGE DRUG, INC. (NPI 1639851116), doing business as Aurora Long Term Care - Traverse City, is a healthcare organization registered as a long term care pharmacy in Traverse City, Michigan and active in the NPI registry since August 2023. The organization lists Jeffrey Robert Stull, Owner, as its authorized official.

NPPES Registry Identity

NPI1639851116
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameBRONSON VILLAGE DRUG, INC.
Location Address3622 VETERANS DR STE 1&2Traverse City, MI 49684-4579
Mailing Address25344 Red Arrow HwyMattawan, MI 49071-9742 · (833) 697-0008
Organization SubpartNo
Authorized OfficialJeffrey Robert StullOwner · (269) 657-6073
Enumeration DateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
NPI 1639851116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

3622 VETERANS DR STE 1&2, Traverse City, MI 49684

Other Names 1

Doing Business AsAurora Long Term Care - Traverse City

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639851116, enumerated as an "organization" on August 03, 2023.

The provider is located at 3622 VETERANS DR STE 1&2 TRAVERSE CITY, MI 49684 and the phone number is (833) 697-0008.

Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.