Green Mountain Medical Store LLC
NPI #1235612169 in Essex Junction, Vermont
Provider Information
- NPI Number
- 1235612169
- Entity Type
- Organization
- Organization Name
- Green Mountain Medical Store LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 6, 2018
- Last Updated
- Sep 6, 2018
Practice Location
- Address
- 46 FOX RUN RD
- City
- Essex Junction
- State
- Vermont
- ZIP Code
- 05452-2653
- Phone
- (802) 598-2697
Authorized Official
- Name
- MITALI R ASHER
- Title
- AUTHORIZED OFFICIAL
- Phone
- (802) 598-2697
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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