TY MACWALTERS CPhT
Individual Provider (NPI-1)
Active
Pharmacy, Institutional Pharmacy
Provider Information
- NPI Number
1679095475- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CPhT
- Status
- Active
Contact & Location
- Address
- 130 FISHER ROAD CENTRAL VERMONT MEDICAL CENTER, BERLIN, VT, 056020560
- Phone
- (802) 371-4857
- Fax
- (802) 371-4408
Specialties & Taxonomies
Pharmacy, Institutional Pharmacy
Primary License: VT #037.0001187