# DOG RIVER PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northfield LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730049214
- **Authorized official:** DR. KYLE MAXWELL PHARMD,RPH (PRESIDENT/TREAS.)
- **Authorized official phone:** (802) 485-4771

## Contact information

- **Practice address:** 14 DEPOT SQ STE 1, NORTHFIELD, VT 05663-6960
- **Practice address phone:** (802) 485-4771
- **Mailing address:** 14 DEPOT SQ STE 1, NORTHFIELD, VT 05663-6960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2025
- **Last updated:** 11/17/2025