Dba Wells River Pharmacy

LBN: St Jay Pharmacy Inc
Dba Wells River Pharmacy is an health care organization with primary practice located at 41 Main St N. , Wells River VT 05081-0672. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. St Jay Pharmacy Inc can be contacted via phone (802) 757-2244, or through Straight, Dennis Henry via phone (802) 757-2244.

Contact Information

Primary practice address
41 Main St N. Wells River VT 05081-0672
Phone: (802) 757-2244
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Straight, Dennis Henry
Phone: (802) 757-2244

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 0380003329 Vermont

Profile Details

NPI number 1114082153
LBN Legal business name St Jay Pharmacy Inc
DBA Doing business as Dba Wells River Pharmacy
Authorized official Straight, Dennis Henry
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1114082153 NPPES
Vermont MEDICAID 1008262
Vermont MEDICAID 30701654

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