Organization
THE MEDICAL STORE, LTD.
Active
Organization
THE MEDICAL STORE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER JOHN HENRY (CEO)
(802) 864-0908
Entity
Organization
Contact information
Practice address
1225 AIRPORT PKWY, SOUTH BURLINGTON, VT 05403-5805
(802) 864-0908
(802) 862-6482
Mailing address
1225 AIRPORT PKWY, SOUTH BURLINGTON, VT 05403-5805
(802) 864-0908
(802) 862-6482
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007039
—
VT
Enumeration date
05/30/2006
Last updated
08/22/2020
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