# LYNDONVILLE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LYNDONVILLE PHARMACY LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578630067
- **Authorized official:** JILL GEIGER RPH (OWNER)
- **Authorized official phone:** (802) 751-8438

## Contact information

- **Practice address:** 101 DEPOT ST, LYNDONVILLE, VT 05851-9706
- **Practice address phone:** (802) 626-6966
- **Practice address fax:** (802) 626-6977
- **Mailing address:** PO BOX 1068, LYNDONVILLE, VT 05851-1068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 0383354 | VT | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 10/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4704195 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |