South Hero Pharmacy
LBN: South Hero Pharmacy Llc
South Hero Pharmacy is an health care organization with primary practice located at 334 Us Route 2 , South Hero VT 05486. 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.
South Hero Pharmacy Llc can be contacted via phone (802) 372-5377, or through Mcgregor Reardon, Audrey via phone (802) 655-3544.
Contact Information
Primary practice address
334 Us Route 2
South Hero VT 05486
Phone: (802) 372-5377
Fax: (802) 372-5638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0380003129 | Vermont |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1790866010 |
|---|---|
| LBN Legal business name | South Hero Pharmacy Llc |
| DBA Doing business as | South Hero Pharmacy |
| Authorized official | Mcgregor Reardon, Audrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Sep 4th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790866010 | NPPES |
| Other | 4703129 | OTHER ID NUMBER | |
| MEDICAID | 0007138 | OTHER ID NUMBER |
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