Individual
MRS. IDONA JEAN JELEN EBERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1043 DEXTER MOUNTAIN RD, GLOVER, VT 05839-9665
(802) 525-3152
Mailing address
1043 DEXTER MOUNTAIN RD, GLOVER, VT 05839-9665
(802) 525-3152
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS26840
FL
183500000X
Pharmacist
Primary
VT3619
VT
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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