| NPI | 1790866010 |
|---|---|
| Doing Business As | SOUTH HERO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AUDREY MCGREGOR REARDON Pres 802-655-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VT 0380003129) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-09-04 |