Individual
SIMON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
262 RIVER ST, SPRINGFIELD, VT 05156-2306
(802) 885-6400
Mailing address
262 RIVER ST, SPRINGFIELD, VT 05156-2306
(802) 885-6400
(802) 885-6415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0132482
VT
183500000X
Pharmacist
PH234265
MA
183500000X
Pharmacist
R2510
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033.0132482
BOARD OF PHARMACY
VT
01
—
PH234265
BOARD OF PHARMACY
MA
01
—
R2510
BOARD OF PHARMACY
NH
Enumeration date
05/19/2022
Last updated
05/31/2022
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