NPI 1740588979

Gregor Allen Outslay, RPH

Practitioner Pharmacist Brandon, VT

Practice location

Address: 1 Carver St, Brandon, VT 05733-1103
Phone: (802) 247-8050

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0003386 (VT)

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Registry record

NPI: 1740588979
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Mar 2011
Record last updated: 12 Mar 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.