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Contact Information

VERMONT CVS PHARMACY LLC
35 CHURCH ST
BURLINGTON, VT05401-4417
 Phone: 802-651-1018
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for VERMONT CVS PHARMACY LLC

NPI Number 1508214800
LBN Legal business name VERMONT CVS PHARMACY LLC
Authorized official SUSAN COLBERT - (SR DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2016
Last updated 11/22/2016 - About 10 years ago
Identifiers
VT Medicaid 1027078
VT Other 4704905 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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