Healthcare Provider Details

I. General information

NPI: 1225031800
Provider Name (Legal Business Name): HOTEL PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 02/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 ELLIOT ST NO 1
BRATTLEBORO VT
05301-3216
US

IV. Provider business mailing address

20 ELLIOT ST NO 1
BRATTLEBORO VT
05301-3216
US

V. Phone/Fax

Practice location:
  • Phone: 802-254-2303
  • Fax: 802-257-0023
Mailing address:
  • Phone: 802-254-2303
  • Fax: 802-257-0023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0380000565
License Number StateVT

VIII. Authorized Official

Name: MARY GIAMARTINO
Title or Position: OWNER AND PRESIDENT
Credential: RPH
Phone: 802-254-2303