| NPI | 1821851080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC P COTE Member/Pharmacy Manager 802-428-4023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-02-13 |