NPI 1265757223

Kenneth Breaux Segreto, PHARMD

Practitioner Pharmacist Bennington, VT

Practice location

Address: 141 Hannaford Sq # 2, Bennington, VT 05201-1653
Phone: (802) 442-3642
Fax: (802) 442-3065

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 033-0003660 (VT)

Other Pharmacist providers in Vermont →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 54252 (NY)

Registry record

NPI: 1265757223
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Apr 2010
Record last updated: 23 Sep 2010

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.