# JBJD INC

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

## Provider details

- **NPI number:** 1215003975
- **Authorized official:** JOSEPH BOUFFARD RPH (PRES)
- **Authorized official phone:** (802) 524-2020

## Contact information

- **Practice address:** 40 N MAIN ST, SAINT ALBANS, VT 05478-1665
- **Practice address phone:** (802) 524-2020
- **Mailing address:** 40 N MAIN ST, SAINT ALBANS, VT 05478-1665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 380003028 | VT | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 07/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007094 | — | VT |
| 01 | — | 4703028 | OTHER ID NUMBER | — |