Organization
BARRE PHARMACY LLC
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAYUR PATEL (MEMBER)
(845) 401-5301
Entity
Organization
Contact information
Practice address
20 S MAIN ST, BARRE, VT 05641-4826
(802) 479-3381
(802) 479-0640
Mailing address
20 S MAIN ST STE 1, BARRE, VT 05641-4826
(802) 479-3381
(802) 479-0640
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
038.0003352
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150111
PK
—
Enumeration date
10/16/2014
Last updated
07/05/2016
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