Organization
ST JAY PHARMACY INC
Active
Other names
dba Wells River Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS HENRY STRAIGHT (OWNER)
(802) 757-2244
Entity
Organization
Contact information
Practice address
41 MAIN ST N., WELLS RIVER, VT 05081-0672
(802) 757-2244
Mailing address
PO BOX 672, WELLS RIVER, VT 05081-0672
(802) 757-2244
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0380003329
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008262
—
VT
05
—
30701654
—
NH
Enumeration date
12/27/2006
Last updated
08/22/2020
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