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Organization

CARLOS G OTIS HEALTH CARE CENTER INC

Active
Other names
MESSENGER VALLEY PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN ALAN BROWN (CFO)
(802) 365-3601
Entity
Organization

Contact information

Practice address
170 GRAFTON RD, TOWNSHEND, VT 05353
(802) 365-4117
(802) 365-7759
Mailing address
PO BOX 216, TOWNSHEND, VT 05353-0216
(802) 365-4117
(802) 365-7759

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
038.0003276
VT
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1005594
VT
01
2101612
PK
Enumeration date
09/11/2006
Last updated
06/02/2020
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