# UNIVERSITY OF VERMONT MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UVM Medical Center Outpatient Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407867054
- **Authorized official:** MARK DIPARLO BS PHARM (PHARMACY MGR)
- **Authorized official phone:** (802) 847-2622

## Contact information

- **Practice address:** 792 COLLEGE PKWY, COLCHESTER, VT 05446-3052
- **Practice address phone:** (802) 847-7461
- **Practice address fax:** (802) 847-7462
- **Mailing address:** 792 COLLEGE PKWY, COLCHESTER, VT 05446-3052
- **Mailing address phone:** (802) 847-7461
- **Mailing address fax:** (802) 847-7462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 030003293 | VT | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 02/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1012209 | — | VT |
| 01 | — | 2101484 | PK | — |
