Organization
JBJD INC
Active
Other names
JACK RIXON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BOUFFARD RPH (PRES)
(802) 524-2020
Entity
Organization
Contact information
Practice address
40 N MAIN ST, SAINT ALBANS, VT 05478-1665
(802) 524-2020
Mailing address
40 N MAIN ST, SAINT ALBANS, VT 05478-1665
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
380003028
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007094
—
VT
01
—
4703028
OTHER ID NUMBER
—
Enumeration date
11/27/2006
Last updated
07/10/2008
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