Maxi Green INC

NPI #1477569689 in Randolph, Vermont

Provider Information

NPI Number
1477569689
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
12 NORTH MAIN STREET
State
Vermont
ZIP Code
05060-1127
Phone
(802) 728-3722

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 PharmacyCommunity/Retail Pharmacy

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