Maxi Green INC
NPI #1114933322 in Brattleboro, Vermont
Provider Information
- NPI Number
- 1114933322
- Entity Type
- Organization
- Organization Name
- Maxi Green INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 31, 2006
- Last Updated
- Apr 11, 2012
Practice Location
- Address
- 499 CANAL STREET
- Address 2
- UNIT # 3
- City
- Brattleboro
- State
- Vermont
- ZIP Code
- 05301
- Phone
- (802) 257-4204
Authorized Official
- Name
- JENNIFER ZOREK
- Title
- MANAGER ONLINE ADJUDICATION
- Phone
- (717) 975-5937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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