Custom Prescription Shoppe

LBN: Kelley Pharmacy Inc
Custom Prescription Shoppe is an health care organization with primary practice located at 42 Timber Ln , South Burlington VT 05403-7204. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Kelley Pharmacy Inc can be contacted via phone (802) 864-0812, or through Brown, Scott William via phone (802) 864-0812.

Contact Information

Primary practice address
42 Timber Ln South Burlington VT 05403-7204
Phone: (802) 864-0812
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Scott William R.PH.
Phone: (802) 864-0812

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 038-0002622 Vermont

Profile Details

NPI number 1366578114
LBN Legal business name Kelley Pharmacy Inc
DBA Doing business as Custom Prescription Shoppe
Authorized official Brown, Scott William R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Aug 22nd, 2020 - about 4 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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