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Organization
NORTHEASTERN VT REG HOSP
Active
Organization
NORTHEASTERN VT REG HOSP
Active
Other names
Northeastern VT Reg Hosp
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AUGER (DIRECTOR OF PHARMACY)
(802) 748-7428
Entity
Organization
Contact information
Practice address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-7408
(802) 748-7591
Mailing address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-7408
(802) 748-7591
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
037.0001315
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704462
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/16/2012
Last updated
03/16/2012
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