The Drug Store Inc

Organization Active NPI Community/Retail Pharmacy · Waitsfield, VT

NPI 1972648129 · NPPES record last updated Sep 12, 2007

Key facts

NPI
1972648129
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
0380001074 (VT)
Legal business name
THE DRUG STORE INC
Practice address
Village Square
Suite 7
Waitsfield, VT 05673-0391
Phone
(802) 496-2345
Fax
(802) 496-4337
NPI assigned
Feb 21, 2007
Organization subpart
No

Authorized official

Name
Al Oddell
Title
Pres
Phone
(802) 496-2345

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0380001074 VT Yes

Addresses

Primary practice location

Village Square
Suite 7
Waitsfield, VT 05673-0391

Mailing address

PO Box 391
Waitsfield, VT 05673-0391

Other identifiers

IdentifierTypeStateIssuer
0007154MedicaidVT
4701074OtherOTHER ID NUMBER-COMMERCIAL NUMBER
4701074OtherOTHER ID NUMBER

Other providers in Waitsfield, VT

All providers in Waitsfield, VT · Community/Retail Pharmacy in Vermont

Sources for this page

Verify at the official NPI Registry.