GREEN MOUNTAIN MEDICAL STORE LLC NPI 1235612169

NPI Information

GREEN MOUNTAIN MEDICAL STORE LLC is a durable medical equipment medical supplies in Essex Junction, VT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. GREEN MOUNTAIN MEDICAL STORE LLC NPI is 1235612169. The provider is registered as an organization entity type.

The provider's business location address is:

46 FOX RUN RD
ESSEX JUNCTION, VT
ZIP 05452-653
Phone: (802) 598-2697

The provider's authorized official is Mitali R Asher .
The authorized official title is Authorized Official and has the following contact phone number (802) 598-2697.

The enumeration date for this NPI number is 9/6/2018 and was last updated on 9/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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