Organization
TMS VT, LLC
Active
Other names
The Medical Store
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
1225 AIRPORT PKWY, SOUTH BURLINGTON, VT 05403-5805
(802) 864-0908
(802) 862-6482
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013543
—
VT
Enumeration date
11/15/2006
Last updated
10/14/2025
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