Organization
LUDLOW PHARMACY INC
Active
Other names
Ludlow Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HOCHBERG (OWNER)
(802) 228-2500
Entity
Organization
Contact information
Practice address
57 POND ST, LUDLOW, VT 05149-1083
(802) 228-2500
(802) 228-7209
Mailing address
57 POND ST, LUDLOW, VT 05149-1083
(802) 228-2500
(802) 228-7209
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
038.0073109
VT
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018674
—
VT
01
—
2128640
PK
—
Enumeration date
01/07/2011
Last updated
02/20/2017
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