Organization
SMITH & PECK PHARMACY MANAGEMENT SERVICES INC
Active
Other names
Pete's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LESTER PECK (PRESIDENT)
(802) 376-7077
Entity
Organization
Contact information
Practice address
242 RIVER ST, SPRINGFIELD, VT 05156-2306
(802) 885-4222
(802) 885-4223
Mailing address
242 RIVER ST, SPRINGFIELD, VT 05156-2306
(802) 885-4222
(802) 885-4223
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
038.0071595
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704412
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/30/2010
Last updated
12/07/2010
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