Organization
KPH HEALTHCARE SERVICES, INC.
Active
Other names
Healthdirect Institutional Pharmacy Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M MARLOW (THIRD PARTY ADMINISTRATOR)
(315) 287-3600
Entity
Organization
Contact information
Practice address
600 BLAIR PARK RD STE 195, WILLISTON, VT 05495-7529
(802) 878-9116
(802) 878-9273
Mailing address
600 BLAIR PARK RD STE 195, WILLISTON, VT 05495-7529
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
0380003336
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009392
—
VT
01
—
4704006
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/24/2006
Last updated
07/03/2024
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