Organization
COLD HOLLOW FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE M COLLINS (CLINIC ADMINISTRATOR)
(802) 933-6664
Entity
Organization
Contact information
Practice address
84 WATER TOWER RD, SUITE 1, ENOSBURG FALLS, VT 05450-6097
(802) 933-6664
(802) 933-8333
Mailing address
84 WATER TOWER RD, SUITE 1, ENOSBURG FALLS, VT 05450-6097
(802) 933-6664
(802) 933-8333
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014837
—
VT
Enumeration date
05/30/2008
Last updated
05/30/2008
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