NPI 1134478712

Andrew Gagne, PHARMD

Practitioner Pharmacist Enosburg Falls, VT

Practice location

Address: 221 Main Street, Enosburg Falls, VT 05450
Phone: (802) 933-7756

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 033.0087712 (VT)

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Registry record

NPI: 1134478712
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2012
Record last updated: 29 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.