# LUDLOW PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ludlow Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023312964
- **Authorized official:** JASON HOCHBERG (OWNER)
- **Authorized official phone:** (802) 228-2500

## Contact information

- **Practice address:** 57 POND ST, LUDLOW, VT 05149-1083
- **Practice address phone:** (802) 228-2500
- **Practice address fax:** (802) 228-7209
- **Mailing address:** 57 POND ST, LUDLOW, VT 05149-1083
- **Mailing address phone:** (802) 228-2500
- **Mailing address fax:** (802) 228-7209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 038.0073109 | VT | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/07/2011
- **Last updated:** 02/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1018674 | — | VT |
| 01 | — | 2128640 | PK | — |