# TES DRUG, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicine Shoppe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801830401
- **Authorized official:** MR. ERIC MOORE (OWNER)
- **Authorized official phone:** (802) 479-3381

## Contact information

- **Practice address:** 20 S MAIN ST, BARRE, VT 05641-4826
- **Practice address phone:** (802) 479-3381
- **Mailing address:** 20 S MAIN ST, BARRE, VT 05641-4826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 3352 | VT | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1012736 | — | VT |
| 01 | — | 4702494 | NCPDP \# | VT |
