Organization
PHARMACY HEALTH SERVICES INC
Active
Other names
Marble Works Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA BURNS (PRESIDENT)
(802) 893-5105
Entity
Organization
Contact information
Practice address
61 PINE ST STE 401, BRISTOL, VT 05443-1043
(802) 453-2999
(802) 453-4006
Mailing address
PO BOX 69, MIDDLEBURY, VT 05753-0069
(802) 458-3100
(802) 388-0872
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
038.0088707
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021034
—
VT
01
—
2135392
PK
—
Enumeration date
06/01/2012
Last updated
05/18/2016
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