NPI 1003663808

Mountainside Pharmacy INC

Organisation Long Term Care Pharmacy Stowe, VT

Practice location

Address: 45 Old Farm Rd, Stowe, VT 05672
Phone: (802) 760-6262

Authorised official

Name: Kyle Maxwell
Title: Owner
Phone: (802) 760-6262

Registered specialties

Long Term Care Pharmacy Primary

Suppliers Taxonomy 3336L0003X

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Registry record

NPI: 1003663808
Entity type: Organization
NPI issued: 1 May 2024
Record last updated: 1 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.