Freedom Pharmacy

LBN: Pharmacy Direct Delivery Llc
Freedom Pharmacy is an health care organization with primary practice located at 434 Hurricane Ln Ste 200 , Williston VT 05495-2073. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Pharmacy Direct Delivery Llc can be contacted via phone (802) 655-3544, or through Duteau, Corey James via phone (802) 655-3544.

Contact Information

Primary practice address
434 Hurricane Ln Ste 200 Williston VT 05495-2073
Phone: (802) 655-3544
Fax: (802) 655-0123
Website:
Map and Directions
Authorized official contact:
Name: Duteau, Corey James R.PH.
Phone: (802) 655-3544

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 033054 New York
Suppliers / Long Term Care Pharmacy 3336L0003X NR0990 New Hampshire
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1255753869
LBN Legal business name Pharmacy Direct Delivery Llc
DBA Doing business as Freedom Pharmacy
Authorized official Duteau, Corey James R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2014
Last updated Sep 16th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255753869 NPPES
Vermont Other 038.0134046 STATE LICENSE
Vermont Other NR0990 STATE LICENSE
Vermont MEDICAID 1022646 STATE LICENSE
Vermont Other 2143851 STATE LICENSE
Vermont MEDICAID 06454686 STATE LICENSE
Vermont Other 033054 STATE LICENSE
Vermont MEDICAID 3095901 STATE LICENSE

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