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Contact Information

MCGRX INC
321 MAIN ST
SUITE B
WINOOSKI, VT05404-1380
 Phone: 802-655-3544
 Fax: 802-655-0123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MCGRX INC

NPI # 1073606364
LBN Legal business name MCGRX INC
Authorized official THOMAS REARDON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/01/2006
Last updated 04/12/2013 - About 13 years ago
Identifiers
VT License # 0380003337
ME Medicaid 410320000
NH Medicaid 30702919
VT Medicaid 1009581
Other 2139498 PK
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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