NPI 1174104723

Ryan Waltzer, PHARMD

Practitioner Pharmacist Brandon, VT

Practice location

Address: 420 Grove St, Brandon, VT 05733-9062
Phone: (802) 465-0011
Mailing address: 87 Benedict Ln Unit a, Middlebury, VT 05753-1391

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 033.0133509 (VT)

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Registry record

NPI: 1174104723
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2021
Record last updated: 15 Apr 2021

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.