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Contact Information

KPH HEALTHCARE SERVICES, INC.
407 BROAD ST
LYNDONVILLE, VT05851-5600
 Phone: 802-626-3779
 Fax: 802-626-1089
 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 # 1215135702
LBN Legal business name KPH HEALTHCARE SERVICES, INC.
Authorized official ELIZABETH MARLOW - (THIRD PARTY ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2007
Last updated 07/03/2024 - More than a year ago
Identifiers
VT License # 0380003357
VT Medicaid 1013842
VT Other 4704210 NCPDP
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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