| NPI | 1346285921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY SCOTT BEAUCHAMP Store Manager 802-775-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VT 0380000553) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2022-02-15 |