Marble Works Pharmacy

LBN: Pharmacy Health Services Inc
Marble Works Pharmacy is an health care organization with primary practice located at 187 Main St , Vergennes VT 05491-1117. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pharmacy Health Services Inc can be contacted via phone (802) 877-1190, or through Gray, Diane via phone (802) 388-1575.

Contact Information

Primary practice address
187 Main St Vergennes VT 05491-1117
Phone: (802) 877-1190
Fax: (802) 877-1197
Website:
Map and Directions
Authorized official contact:
Name: Gray, Diane RPH
Phone: (802) 388-1575

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 038.0003399 Vermont

Profile Details

NPI number 1124194881
LBN Legal business name Pharmacy Health Services Inc
DBA Doing business as Marble Works Pharmacy
Authorized official Gray, Diane RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2006
Last updated Jun 8th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124194881 NPPES
Vermont MEDICAID 1005172
Vermont Other 2101607

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