Organization
NORTHEASTERN VT REG HOSP
Active
Other names
Northeastern VT Reg Hosp
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AUGER (DIRECTOR OF PHARMACY)
(802) 748-7428
Entity
Organization
Contact information
Practice address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-7408
(802) 748-7591
Mailing address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-7408
(802) 748-7591
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
037.0001315
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704462
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/16/2012
Last updated
03/16/2012
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