Provider Demographics
NPI:1871191171
Name:THE MEDICINE CHEST, LLC
Entity Type:Organization
Organization Name:THE MEDICINE CHEST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:WESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:802-388-9801
Mailing Address - Street 1:99 MAPLE ST STE 21
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-1595
Mailing Address - Country:US
Mailing Address - Phone:802-388-9801
Mailing Address - Fax:
Practice Address - Street 1:99 MAPLE ST STE 21
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-1595
Practice Address - Country:US
Practice Address - Phone:802-388-9801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier