Organization
JOHN M BOVE
Active
Other names
Gericare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA M. ABATIELL-BOVE RPH (PHARMACIST MANAGER)
(802) 773-3888
Entity
Organization
Contact information
Practice address
17 MENDON VIEW DRIVE, GERICARE, MENDON, VT 05701
(802) 773-3888
(802) 775-7400
Mailing address
PO BOX 1852, STATION A, GERICARE, RUTLAND, VT 05701-1852
(802) 773-3888
(802) 775-7400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
038-0003319
VT
333600000X
Pharmacy
Primary
038-0003319
VT
3336C0003X
Community/Retail Pharmacy
038-0003319
VT
3336L0003X
Long Term Care Pharmacy
0380003319
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038-0003319
PHARMACY LIC
VT
05
—
1007643
—
VT
01
—
47-03799
NCPDP NUMBER
—
01
—
4703799
NCPDP
—
Enumeration date
05/22/2006
Last updated
03/07/2023
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