NPI 1235612169
Green Mountain Medical Store LLC
Practice location
- Address
- 46 Fox Run Rd, Essex Junction, VT 05452-2653
- Phone
- (802) 598-2697
Authorised official
- Name
- Mitali R Asher
- Title
- Authorized Official
- Phone
- (802) 598-2697
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1235612169
- Entity type
- Organization
- NPI issued
- 6 Sep 2018
- Record last updated
- 6 Sep 2018
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.