NPI 1497939110

Equinox Compounding Pharmacy

Organisation Compounding Pharmacy Manchester Center, VT

Practice location

Address: 34b Ways Ln, Manchester Center, VT 05255-9231
Phone: (802) 367-1096
Fax: (802) 367-1098
Mailing address: PO Box 737, Bennington, VT 05201-0737

Authorised official

Name: Philip O Neill
Title: President
Phone: (802) 442-5602

Registered specialties

Compounding Pharmacy Primary

Suppliers Taxonomy 3336C0004X Licence 0380003389 (VT)

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Registry record

NPI: 1497939110
Entity type: Organization
NPI issued: 18 Dec 2007
Record last updated: 21 Nov 2014

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.