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Contact Information

KPH HEALTHCARE SERVICES, INC.
47 EXECUTIVE DRIVE
SHELBURNE, VT05482
 Phone: 802-985-0008
 Fax: 802-985-0011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KPH HEALTHCARE SERVICES, INC.

NPI # 1104183524
LBN Legal business name KPH HEALTHCARE SERVICES, INC.
Authorized official ELIZABETH MARLOW - (THIRD PARTY ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2012
Last updated 07/03/2024 - More than a year ago
Identifiers
VT License # 0380085215
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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