| NPI | 1760700538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SMITH General Manager 802-236-4154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 03.0065120-TEMP) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |