| NPI | 1134982366 |
|---|---|
| Former Legal Business Name | FALL MOUNTAIN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARC P COTE President 802-428-4023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-02-26 |