| NPI | 1033412903 |
|---|---|
| Other Name | MARATHON HEALTH AT DRS W. HIBISCUS |
| Entity Type | Organization |
| Authorized Contact | JERRY M FORD CEO 802-857-0400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL 60 4021) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |