Organization
SMITH MANAGEMENT SERVICES, LLC
Active
Other names
MARBLE WORKS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PURSCELL (PRESDIENT)
(800) 552-1216
Entity
Organization
Contact information
Practice address
187 MAIN ST, VERGENNES, VT 05491-1117
(802) 877-1190
(802) 877-1197
Mailing address
99 MAPLE STREET, STE 19, MIDDLEBURY, VT 05753-0069
(802) 458-3102
(802) 388-0872
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
038.0127446
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166862
PK
—
Enumeration date
01/17/2017
Last updated
03/23/2018
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