<Unavail>

LBN: South Hero Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 334 Us Route 2 , South Hero VT 05486. 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. South Hero Pharmacy Llc can be contacted via phone (802) 372-5377, or through Mcgregor Reardon, Audrey via phone (802) 655-3544.

Contact Information

Primary practice address
334 Us Route 2 South Hero VT 05486
Phone: (802) 372-5377
Fax: (802) 372-5638
Website:
Map and Directions
Authorized official contact:
Name: Mcgregor Reardon, Audrey
Phone: (802) 655-3544

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0380003129 Vermont
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1790866010
LBN Legal business name South Hero Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Mcgregor Reardon, Audrey
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Sep 4th, 2014 - about 12 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 1790866010 NPPES
Other 4703129 OTHER ID NUMBER
MEDICAID 0007138 OTHER ID NUMBER

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