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Organization

MAXWELLS PHARMACY INC

Active
Parent organization
MAXWELLS PHARMACY INC
Other names
Lakeside Pharmacy LTC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MAXWELLS PHARMACY INC
Authorized official
KYLE MAXWELL (PRESIDENT/ TREAS.)
(802) 862-1562
Entity
Organization

Contact information

Practice address
242 PEARL ST, BURLINGTON, VT 05401-8532
(802) 862-1491
(802) 865-2208
Mailing address
242 PEARL ST, BURLINGTON, VT 05401-8532
(802) 862-1491
(802) 865-2208

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
09/02/2021
Last updated
09/02/2021
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