Individual
JUANA ELIZABETH TEJADA PICHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOCTOR OF PHARMACY
Contact information
Practice address
59 WATERFRONT PLAZA, NEWPORT, VT 05855
(802) 808-0000
Mailing address
59 COVENTRY ST UNIT 972, NEWPORT, VT 05855-2839
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 44775
FL
Other
Enumeration date
12/13/2011
Last updated
01/23/2023
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