MEDICARE: PHARMACY OPERATIONS 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	3336C0003X	Community/Retail Pharmacy	0736	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3060908	OTHER	NH	NCPDP #

General Provider Information

NPI Number	:	1477764439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACY OPERATIONS INC

Provider Business Mailing Address
First Line	:	1 RIDER TRAIL PLAZA DRIVE
Second Line	:	SUITE 300
City	:	EARTH CITY
State	:	MO
Zip	:	63045-1313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 MAIN ST
Second Line	:
City	:	PETERBOROUGH
State	:	NH
Zip	:	03458-2417
Country	:	US
Telephone Number	:	603-924-9691
Fax Number	:

Authorized Official
Title or Position	:	THIRD PARTY PLAN COORDINATOR
Name	:	DENA FERMAN
Credential	:
Telephone Number	:	314-993-6000

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	03/07/2023

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Directions to “PHARMACY OPERATIONS INC ” Practice Location

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