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Contact Information

SOUTH HERO PHARMACY LLC
334 US ROUTE 2
SOUTH HERO, VT05486
 Phone: 802-372-5377
 Fax: 802-372-5638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SOUTH HERO PHARMACY LLC

NPI Number 1790866010
LBN Legal business name SOUTH HERO PHARMACY LLC
Authorized official AUDREY MCGREGOR REARDON - (PRES)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2006
Last updated 09/04/2014 - About 12 years ago
Identifiers
VT License # 0380003129
VT Medicaid 0007138
Other 4703129 OTHER ID NUMBER
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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