| NPI | 1780639633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M. ABATIELL-BOVE Pharmacist Manager 802-773-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VT 038-0003319) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VT 038-0003319) |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VT 038-0003319) | |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: VT 0380003319) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2023-03-07 |