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Individual

LAURA DEROCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
1 ANNA MARSH LANE, BRATTLEBORO, VT 05301
(802) 258-3739
Mailing address
1 ANNA MARSH LANE, BRATTLEBORO, VT 05301

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
121.135414
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
121.0135414
VERMONT BOARD OF PHARMACY
VT
Enumeration date
09/20/2022
Last updated
09/20/2022
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