Lakeside Pharmacy

LBN: Maxwells Pharmacy Inc
Lakeside Pharmacy is an health care organization with primary practice located at 242 Pearl St , Burlington VT 05401-8532. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Maxwells Pharmacy Inc can be contacted via phone (802) 862-1491, or through Maxwell, Kyle via phone (802) 862-1491.

Contact Information

Primary practice address
242 Pearl St Burlington VT 05401-8532
Phone: (802) 862-1491
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maxwell, Kyle
Phone: (802) 862-1491

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1043321896
LBN Legal business name Maxwells Pharmacy Inc
DBA Doing business as Lakeside Pharmacy
Authorized official Maxwell, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 7th, 2023 - about last year

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 1043321896 NPPES
Vermont MEDICAID 0006673

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