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Organization
PHARMACY NETWORK
Active
Organization
PHARMACY NETWORK
Active
Other names
Community Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAN ROBINSON (VICE PRESIDENT-CONTRACTING)
(806) 324-5400
Entity
Organization
Contact information
Practice address
158 BRENTWOOD DR, STE 7, COLCHESTER, VT 05446-7994
(802) 893-1120
(877) 899-2622
Mailing address
320 S POLK ST, STE 800, AMARILLO, TX 79101-1426
(806) 324-5400
(806) 324-5495
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0380003395
VT
Other
Enumeration date
09/08/2008
Last updated
11/07/2011
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