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Organization
CHELSEA PHARMACY LLC
Active
Organization
CHELSEA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYUR PATEL (MEMBER)
(845) 292-8200
Entity
Organization
Contact information
Practice address
356 VT-110, CHELSEA, VT 05038
(802) 685-2100
(802) 685-3499
Mailing address
356 VT-110, CHELSEA, VT 05038
(802) 685-2100
(802) 685-3499
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
038.0129187
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2172455
PK
—
Enumeration date
09/28/2017
Last updated
04/18/2018
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