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	332B00000X	Durable Medical Equipment & Medical Supplies	28RO00044300	NJ
2	333600000X	Pharmacy	26423	TX
3	3336L0003X	Long Term Care Pharmacy	0380000022	VT
4	3336C0003X	Community/Retail Pharmacy	PH27125	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	2101178	OTHER	PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851302707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACY INC

Provider Business Mailing Address
First Line	:	PO BOX 737
Second Line	:
City	:	BENNINGTON
State	:	VT
Zip	:	05201-0737
Country	:	US
Telephone Number	:	802-442-5602
Fax Number	:	802-442-3931

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	:	802-442-3931

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HARSH PATEL
Credential	:	RPH
Telephone Number	:	802-442-5602

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	12/11/2024

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Directions to “PHARMACY INC ” Practice Location

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