OrganizationActive
Kph Healthcare Services, Inc.
NPI 1770814527 · Community/Retail Pharmacy · Waterbury, VT
Provider details
- NPI number
- 1770814527
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Elizabeth Marlow, Third Party Administrator(315) 287-3600
- License
- 038-0063144 (VT)
Specialties & taxonomies
Suppliers
Practice location
80 S Main St
Waterbury, VT 05676-1553
Phone: (802) 244-8458
Fax: (802) 244-1882
Approximate (ZIP-level) locationGet directions
Mailing address
29 E Main St
Gouverneur, NY 13642-1401
Other names (DBA / former)
- Doing business as
- Kinney Drugs #101
Registry dates
- Enumerated
- 2010-01-19
- Last updated
- 2024-07-04
- Certified
- 2024-07-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.