MEDICARE: PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1427802115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACY INC

Provider Business Mailing Address
First Line	:	205 NORTH ST
Second Line	:
City	:	BENNINGTON
State	:	VT
Zip	:	05201-1829
Country	:	US
Telephone Number	:	802-442-5602
Fax Number	:	802-442-8023

Provider Business Practice Location Address
First Line	:	205 NORTH ST
Second Line	:
City	:	BENNINGTON
State	:	VT
Zip	:	05201-1829
Country	:	US
Telephone Number	:	802-442-5602
Fax Number	:	802-442-8023

Authorized Official
Title or Position	:	OWNER
Name	:	HARSH A PATEL
Credential	:
Telephone Number	:	201-748-9118

Provider Enumeration Date	:	04/17/2024
Last Update Date	:	12/11/2024

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Directions to “PHARMACY INC ” Practice Location

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