Individual
THERESA SHANGRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10212 ROUTE 116, HINESBURG, VT 05461-9725
(802) 482-4886
Mailing address
10212 ROUTE 116, HINESBURG, VT 05461-9725
(802) 482-4886
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0003363
VT
183500000X
Pharmacist
PCT.008449
CT
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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