NPI 1346952678
Mountainside Pharmacy INC
Practice location
- Address
- 45 Old Farm Rd, Stowe, VT 05672
- Phone
- (802) 760-6262
- Fax
- (833) 678-0318
- Mailing address
- 63 Sylvan Rdg, Richmond, VT 05477-1701
Authorised official
- Name
- Kyle Maxwell
- Title
- Owner
- Phone
- (802) 760-6262
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1346952678
- Entity type
- Organization
- NPI issued
- 19 Dec 2022
- Record last updated
- 29 Apr 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.