| NPI | 1730101312 |
|---|---|
| Doing Business As | ISLAND POND HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JACK DONNELLY Dir Of Operations 802-748-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-08-22 |