Whalio Doctors

NPI 1285640490

Maxi Green INC

Organisation Community/Retail Pharmacy Ludlow, VT

Practice location

Address
213 Main Street Ludlow Shopping Plaza, Ludlow, VT 05149
Phone
(802) 228-8477
Mailing address
200 Newberry Commons, Etters, PA 17319-9363

Authorised official

Name
Jennifer Zorek
Title
Manager Online Adjudication
Phone
(717) 975-5937

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 380003325 (VT)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X

Registry record

NPI
1285640490
Entity type
Organization
NPI issued
31 Jul 2006
Record last updated
11 Apr 2012

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.