South Hero Pharmacy Llc in South Hero - Community/retail Pharmacy
South Hero Pharmacy Llc - NPI 1790866010
South Hero Pharmacy Llc is a Community/retail Pharmacy in South Hero, Vermont. South Hero Pharmacy Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for South Hero Pharmacy Llc is 1790866010. The last update date is 2014-09-04.
South Hero Pharmacy Llc's current location address is Po Box 277, South Hero, Vermont. You can contact this provider via phone number 8023725377 and fax number 8023725638. The mailing address for South Hero Pharmacy Llc is Po Box 277, South Hero, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Hero Pharmacy Llc |
|---|---|
| Address | Po Box 277, South Hero, Vermont |
| Phone Number | 8023725377 |
| Fax Number | 8023725638 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRES |
|---|---|
| Authorized Official Name | Mcgregor Reardon Audrey |
| Telephone Number | 8026553544 |
NPI Number Detail
| NPI Number | 1790866010 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2014-09-04 |
Provider Mailing Address Detail
| Address | Po Box 277 |
|---|---|
| City | South Hero |
| State | Vermont (VT) |
| Post Code | 5486 |
| Phone Number | 8023725377 |
| Fax Number | 8023725638 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 380003129 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4703129 | OTHER ID NUMBER | ||
| 7138 | VT | -- |
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What is the South Hero Pharmacy Llc's 1790866010?
The South Hero Pharmacy Llc's NPI (National Provider Identifier) Number is 1790866010. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the South Hero Pharmacy Llc located?
The South Hero Pharmacy Llc is located at Po Box 277, South Hero, VT 5486.
What is the South Hero Pharmacy Llc's specialty and taxonomy code?
The South Hero Pharmacy Llc's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.
When was the South Hero Pharmacy Llc's 1790866010 issued?
The South Hero Pharmacy Llc's 1790866010 was issued on 2006-10-17.
On what date did the Centers for Medicare & Medicaid Services issue the 1790866010 to South Hero Pharmacy Llc?
The South Hero Pharmacy Llc received its 1790866010 assignment from the Centers for Medicare & Medicaid Services on 2006-10-17.