| NPI | 1972049443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT STOODLEY Pharmacist Manager 802-299-7019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VT 0104172) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |