Rutland Pharmacy
LBN: High Mountain Corporation
Rutland Pharmacy is an health care organization with primary practice located at 75 Allen St , Rutland VT 05701-4501. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
High Mountain Corporation can be contacted via phone (802) 775-2545, or through Hochberg, Steven via phone (802) 775-2545.
Contact Information
Primary practice address
75 Allen St
Rutland VT 05701-4501
Phone: (802) 775-2545
Fax: (802) 773-2489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0380002141 | Vermont |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1922048768 |
|---|---|
| LBN Legal business name | High Mountain Corporation |
| DBA Doing business as | Rutland Pharmacy |
| Authorized official | Hochberg, Steven RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Mar 28th, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922048768 | NPPES |
| Vermont | MEDICAID | 0006689 | |
| Vermont | Other | 2101388 |
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