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NPI Code Detail

MEDICARE: MONTPELIER PHARMACY INC

MEDICARE: MONTPELIER 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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy038.0066862VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22126315OTHERPK

General Provider Information

NPI Number : 1821304478
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONTPELIER PHARMACY INC
Provider Business Mailing Address
First Line : 69 MAIN ST
Second Line : C/O MONTPELIER PHARMACY
City : MONTPELIER
State : VT
Zip : 05602
Country : US
Telephone Number : 802-223-4633
Fax Number : 802-223-4634
Provider Business Practice Location Address
First Line : 149 S MAIN ST
Second Line :
City : WATERBURY
State : VT
Zip : 05676-1516
Country : US
Telephone Number : 802-244-7701
Fax Number : 802-223-4634
Authorized Official
Title or Position : SECRETARY
Name : JOCELYN DEPAOLIS
Credential :
Telephone Number : 802-223-4633
Provider Enumeration Date : 08/20/2010
Last Update Date : 03/01/2016

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Directions to “MONTPELIER PHARMACY INC ” Practice Location

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