| NPI | 1972648129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL ODDELL Pres 802-496-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VT 0380001074) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-09-12 |