NPI 1356620934

Shauna Tracy, PHARMD

Practitioner Pharmacist Randolph, VT

Practice location

Address: 12 N Main St, Randolph, VT 05060-1127
Phone: (802) 728-3722

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 033.0078551 (VT)

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Registry record

NPI: 1356620934
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2011
Record last updated: 12 Aug 2011

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.