Enosburg Pharmacy

LBN: Stelise Inc
Enosburg Pharmacy is an health care organization with primary practice located at 366 Main St , Enosburg Falls VT 05450. 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. Stelise Inc can be contacted via phone (802) 933-9200, or through Comeau, Stephen via phone (802) 933-9200.

Contact Information

Primary practice address
366 Main St Enosburg Falls VT 05450
Phone: (802) 933-9200
Fax: (802) 933-9220
Website:
Map and Directions
Authorized official contact:
Name: Comeau, Stephen
Phone: (802) 933-9200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 038-0003335 Vermont

Profile Details

NPI number 1225139181
LBN Legal business name Stelise Inc
DBA Doing business as Enosburg Pharmacy
Authorized official Comeau, Stephen
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Jan 29th, 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 1225139181 NPPES
Other 2101711 PK
MEDICAID 1009134 PK

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