Organization
RIVER STREET PHARMACY INC
Active
Other names
River Street Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HOCHBERG (OWNER)
(802) 775-2545
Entity
Organization
Contact information
Practice address
100 RIVER ST, UNIT 203, SPRINGFIELD, VT 05156-2930
(802) 885-6800
(802) 885-6804
Mailing address
100 RIVER ST, UNIT 203, SPRINGFIELD, VT 05156-2930
(802) 885-6800
(802) 885-6804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
038.0087228
VT
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021209
—
VT
01
—
2135636
PK
—
Enumeration date
05/23/2012
Last updated
02/16/2017
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