Organization
TES DRUG, INC.
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC MOORE (OWNER)
(802) 479-3381
Entity
Organization
Contact information
Practice address
20 S MAIN ST, BARRE, VT 05641-4826
(802) 479-3381
Mailing address
20 S MAIN ST, BARRE, VT 05641-4826
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3352
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012736
—
VT
01
—
4702494
NCPDP #
VT
Enumeration date
06/15/2006
Last updated
03/07/2023
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