Extended Care Pharmacy Llc

LBN: Extended Care Pharmacy Llc
Extended Care Pharmacy Llc is an health care organization with primary practice located at 207 North St , Bennington VT 05201-1829. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Extended Care Pharmacy Llc can be contacted via phone (802) 442-4600, or through Oneill, Philip via phone (802) 442-4600.

Contact Information

Primary practice address
207 North St Bennington VT 05201-1829
Phone: (802) 442-4600
Fax: (802) 442-4788
Website:
Map and Directions
Authorized official contact:
Name: Oneill, Philip RPH
Phone: (802) 442-4600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 28RO00044400 New Jersey
Suppliers / Pharmacy 333600000X NR1187 New Hampshire
Suppliers / Long Term Care Pharmacy 3336L0003X 0380003355 Vermont
Suppliers / Long Term Care Pharmacy 3336L0003X 26401 Texas
Suppliers / Long Term Care Pharmacy 3336L0003X PHN10744 Rhode Island
Suppliers / Long Term Care Pharmacy 3336L0003X PCN.0002838 Connecticut

Profile Details

NPI number 1780881342
LBN Legal business name Extended Care Pharmacy Llc
DBA Doing business as Extended Care Pharmacy Llc
Authorized official Oneill, Philip RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2007
Last updated Aug 4th, 2016 - about 8 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 1780881342 NPPES
New Hampshire MEDICAID 3099706
New Hampshire MEDICAID 02921575
New Hampshire MEDICAID 1780881342
New Hampshire MEDICAID 1013888
New Hampshire Other 2101741

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