OrganizationActive
Kph Healthcare Services, Inc.
NPI 1225145402 · Community/Retail Pharmacy · Bradford, VT
Provider details
- NPI number
- 1225145402
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Elizabeth Marlow, Third Party Administrator(315) 287-3600
- License
- 0380003311 (VT)
Specialties & taxonomies
Suppliers
Suppliers
Practice location
901 Lower Pln
Bradford, VT 05033-8924
Phone: (802) 222-9292
Fax: (802) 222-5549
Approximate (ZIP-level) locationGet directions
Mailing address
29 E Main St
Gouverneur, NY 13642-1401
Other names (DBA / former)
- Doing business as
- Kinney Drugs #56
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2024-07-03
- Certified
- 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.