NPI | 1861795734 |
---|---|
Other Name | MARATHON HEALTH AT DRS NO. BABCOCK |
Entity Type | Organization |
Authorized Contact | JERRY M FORD CEO 802-857-0400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL 60 4022) |
Enumeration Date | 2010-12-14 |
Last Update Date | 2010-12-14 |