# MANCHESTER PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MANCHESTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114196979
- **Authorized official:** STEVEN HOCHBERG RPH (VP)
- **Authorized official phone:** (802) 366-1414

## Contact information

- **Practice address:** 1009 DEPOT ST, MANCHESTER CENTER, VT 05255-9731
- **Practice address phone:** (802) 366-1414
- **Practice address fax:** (802) 366-1155
- **Mailing address:** PO BOX 2188, MANCHESTER CENTER, VT 05255-2188
- **Mailing address phone:** (802) 366-1414
- **Mailing address fax:** (802) 366-1155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 0380003390 | VT | Yes |

## Other

- **Enumeration date:** 02/26/2008
- **Last updated:** 12/09/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4704272 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |