| Organization Name: | JOHN M BOVE |
| NPI Number: | 1780639633 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA M. ABATIELL-BOVE (PHARMACIST MANAGER) |
| Mailing Address: | 17 Mendon View Drive Gericare Mendon |
| State: | VT US |
| Postal Code: | 05701 |
| Phone Number: | 8027733888 |
| Fax Number: | 8027757400 |
| NPI Enumeration Date: | 05/22/2006 |
| NPI Last Update Date: | 08/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 06/10/2008 |
| NPI Reactivation Date: | 08/04/2008 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 038-0003319 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VT |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |