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MR. LARRY ALBERT RENAUD RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1447568498

Individual Registrant:
MR. LARRY ALBERT RENAUD RPH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
82 RT 15 W  HARDWICK, VT 05843 US
Tel: 802-472-6961  Fax: 802-472-8207

Contact information for business:
82 ROUTE 15 WEST  HARDWICK, VT 05843 US
Tel: 802-472-6961  Fax: 802-472-8207

Registration Information:
NPI: 1447568498
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
VT0003198

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS VT - Page 1

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