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Organization

SMITH MANAGEMENT SERVICES LLC

Active
Other names
MARBLE WORKS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN PURSCELL (PRESIDENT)
(802) 388-1575
Entity
Organization

Contact information

Practice address
99 MAPLE ST, MIDDLEBURY, VT 05753-1595
(802) 388-3784
(802) 388-1720
Mailing address
99 MAPLE ST STE 19, MIDDLEBURY, VT 05753-1595
(802) 458-3100
(802) 388-0872

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
038.0127445
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2166860
PK
Enumeration date
01/17/2017
Last updated
03/27/2018
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