# THE DRUG STORE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972648129
- **Authorized official:** AL ODDELL (PRES)
- **Authorized official phone:** (802) 496-2345

## Contact information

- **Practice address:** VILLAGE SQUARE, SUITE 7, WAITSFIELD, VT 05673-0391
- **Practice address phone:** (802) 496-2345
- **Practice address fax:** (802) 496-4337
- **Mailing address:** PO BOX 391, WAITSFIELD, VT 05673-0391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 0380001074 | VT | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 09/12/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007154 | — | VT |
| 01 | — | 4701074 | OTHER ID NUMBER | — |