Individual
GLENN HOWARD PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1823 VERMONT ROUTE 107, BETHEL, VT 05032-9107
(802) 234-5289
Mailing address
1823 VERMONT ROUTE 107, BETHEL, VT 05032-9107
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0002936
VT
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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