River Street Pharmacy Inc.

LBN: River Street Pharmacy Inc
River Street Pharmacy Inc. is an health care organization with primary practice located at 100 River St Unit 203, Springfield VT 05156-2930. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. River Street Pharmacy Inc can be contacted via phone (802) 885-6800, or through Hochberg, Jason via phone (802) 775-2545.

Contact Information

Primary practice address
100 River St Unit 203 Springfield VT 05156-2930
Fax: (802) 885-6804
Website:
Authorized official contact:
Name: Hochberg, Jason

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 038.0087228 Vermont
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1093075145
LBN Legal business name River Street Pharmacy Inc
DBA Doing business as River Street Pharmacy Inc.
Authorized official Hochberg, Jason
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2012
Last updated Feb 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093075145 NPPES
Vermont MEDICAID 1021209
Vermont Other 2135636

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