Organization
PENRO INC
Active
Other names
PENRO Specialty Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEAL EDWARD PEASE R.PH. (PHARMACIST MANAGER/OWNER)
(802) 879-1100
Entity
Organization
Contact information
Practice address
987 MAIN ST, COLCHESTER, VT 05446-7660
(802) 879-1100
(802) 878-2692
Mailing address
PO BOX 930, COLCHESTER, VT 05446-0930
(802) 879-1100
(802) 878-2692
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
038-0003296
VT
Other
Enumeration date
11/07/2010
Last updated
11/07/2010
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