# PHARMACY HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wilcox Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972045839
- **Authorized official:** DIANE GRAY (COO)
- **Authorized official phone:** (802) 388-1575

## Contact information

- **Practice address:** 252 STRATTON RD, RUTLAND, VT 05701-4623
- **Practice address phone:** (802) 775-3351
- **Practice address fax:** (802) 774-5052
- **Mailing address:** PO BOX 69, MIDDLEBURY, VT 05753-0069
- **Mailing address phone:** (802) 775-3351
- **Mailing address fax:** (802) 774-5052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 038.0125476 | VT | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/09/2016
- **Last updated:** 01/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2162591 | PK | — |