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Organization

PHARMACY NETWORK

Active
Other names
Community Health Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JAN ROBINSON (VICE PRESIDENT-CONTRACTING)
(806) 324-5400
Entity
Organization

Contact information

Practice address
158 BRENTWOOD DR, STE 7, COLCHESTER, VT 05446-7994
(802) 893-1120
(877) 899-2622
Mailing address
320 S POLK ST, STE 800, AMARILLO, TX 79101-1426
(806) 324-5400
(806) 324-5495

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0380003395
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1015558
VT
01
4704296
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
09/08/2008
Last updated
11/07/2011
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