NPI 1205214905

Jon Denofer

Practitioner Pharmacist Rutland, VT

Practice location

Address: 38 Rutland Shopping Plz, Rutland, VT 05701-5201
Phone: (802) 747-7887
Fax: (802) 786-0926

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 033.0002840 (VT)

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Registry record

NPI: 1205214905
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 May 2015
Record last updated: 13 May 2015

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.