OrganizationActive
Kph Healthcare Services, Inc.
NPI 1104183524 · Community/Retail Pharmacy · Shelburne, VT
Provider details
- NPI number
- 1104183524
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Authorized official
- Elizabeth Marlow, Third Party Administrator
- License
- 0380085215 (VT)
Practice location
47 Executive Drive
Shelburne, VT 05482
Phone: (802) 985-0008
Fax: (802) 985-0011
Mailing address
29 E Main St
Gouverneur, NY 13642-1401
Registry dates
- Enumerated
- 2012-04-23
- Last updated
- 2024-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.