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Organization

FALL MOUNTAIN PHARMACY, LLC

Active
Other names
Fall Mountain Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARC P COTE R.PH. (PRESIDENT)
(802) 428-4023
Entity
Organization

Contact information

Practice address
78 ATKINSON ST, BELLOWS FALLS, VT 05101-1321
(802) 779-5774
Mailing address
78 ATKINSON ST, BELLOWS FALLS, VT 05101-1321
(802) 428-4023
(866) 859-1169

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
3336C0004X
Compounding Pharmacy

Other

Enumeration date
01/31/2024
Last updated
10/10/2024
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