Organization
PHARMACY HEALTH SERVICES INC
Active
Other names
MARBLE WORKS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE GRAY RPH (COO)
(802) 388-1575
Entity
Organization
Contact information
Practice address
187 MAIN ST, VERGENNES, VT 05491-1117
(802) 877-1190
(802) 877-1197
Mailing address
187 MAIN ST, VERGENNES, VT 05491-1117
(802) 877-1190
(802) 877-1197
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
038.0003399
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005172
—
VT
01
—
2101607
PK
—
Enumeration date
11/27/2006
Last updated
06/08/2016
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