Individual
MALLORY ANNE KETCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 UNION ST, BRANDON, VT 05733-1127
(802) 247-8050
(802) 247-4237
Mailing address
1 UNION ST, BRANDON, VT 05733-1127
(802) 247-8050
(802) 247-4237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0134411
VT
Other
Enumeration date
08/14/2020
Last updated
12/19/2022
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