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Organization
THE DRUG STORE INC
Active
Organization
THE DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL ODDELL (PRES)
(802) 496-2345
Entity
Organization
Contact information
Practice address
VILLAGE SQUARE, SUITE 7, WAITSFIELD, VT 05673-0391
(802) 496-2345
(802) 496-4337
Mailing address
PO BOX 391, WAITSFIELD, VT 05673-0391
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
0380001074
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007154
—
VT
01
—
4701074
OTHER ID NUMBER
—
Enumeration date
02/21/2007
Last updated
09/12/2007
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