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Individual

BRYAN A DELLARIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
59 WATERFRONT PLZ, STE 2, NEWPORT, VT 05855-4877
(802) 334-6785
Mailing address
156 PLEASANT ST, APT 1, NEWPORT, VT 05855-1971
(978) 457-5067

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0072359
VT
183500000X
Pharmacist
3729
NH

Other

Enumeration date
08/25/2011
Last updated
08/25/2011
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