Ludlow Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Ludlow, VT
NPI 1023312964 · NPPES record last updated Feb 20, 2017
Key facts
- NPI
- 1023312964
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 038.0073109 (VT)
- Legal business name
- LUDLOW PHARMACY INC
- Practice address
- 57 Pond St
Ludlow, VT 05149-1083 - Phone
- (802) 228-2500
- Fax
- (802) 228-7209
- NPI assigned
- Jan 7, 2011
- Organization subpart
- No
Authorized official
- Name
- Jason Hochberg
- Title
- Owner
- Phone
- (802) 228-2500
National Provider Directory
Locations
57 Pond St
Ludlow, VT 05149
Phone (802) 228-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 038.0073109 | VT | Yes |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
57 Pond St
Ludlow, VT 05149-1083
Mailing address
57 Pond St
Ludlow, VT 05149-1083
Phone (802) 228-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2128640 | Other | PK | |
| 1018674 | Medicaid | VT |
Other names
- Ludlow Pharmacy
Other providers in Ludlow, VT
- Courtney Marie Gandee
- Andrea Garcia
- Graybeard LLC
- Gordon Holahan
- Sullivan Stephen Landino
- Maxi Green Inc
- Kristen Lucille Miller
- Mitchell Reed Miller
- Mountain View Physical Therapy PC
- Daniel Everett Oakes
All providers in Ludlow, VT · Community/Retail Pharmacy in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.