# CHELSEA PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497264899
- **Authorized official:** MAYUR PATEL (MEMBER)
- **Authorized official phone:** (845) 292-8200

## Contact information

- **Practice address:** 356 VT-110, CHELSEA, VT 05038
- **Practice address phone:** (802) 685-2100
- **Practice address fax:** (802) 685-3499
- **Mailing address:** 356 VT-110, CHELSEA, VT 05038
- **Mailing address phone:** (802) 685-2100
- **Mailing address fax:** (802) 685-3499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 038.0129187 | VT | Yes |

## Other

- **Enumeration date:** 09/28/2017
- **Last updated:** 04/18/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2172455 | PK | — |