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HIGH MOUNTAIN CORPORATION

Specialty Pharmacy

Rutland, Vermont

Provider NPI: 1922048768

Organization Information:
Organization Name:  HIGH MOUNTAIN CORPORATION


Practice Location:
75 ALLEN ST  RUTLAND, VT 05701 US
Tel: 802-775-2545  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
N333600000XSuppliers
Pharmacy
N3336S0011XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
VT0380002141

Other Provider Identifiers:

IssuerNumberStateType
PK210138801
0006689VT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




PHARMACY JOBS VT - Page 1



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