OrganizationActive
Mountainside Pharmacy Inc
NPI 1003663808 · Long Term Care Pharmacy · Stowe, VT
Provider details
- NPI number
- 1003663808
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Authorized official
- Kyle Maxwell, Owner
Mailing address
45 Old Farm Rd
Stowe, VT 05672
Registry dates
- Enumerated
- 2024-05-01
- Last updated
- 2024-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.