Organization
BRATTLEBORO RETREAT
Active
Other names
Retreat Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SIMPSON (CEO)
(802) 257-7785
Entity
Organization
Contact information
Practice address
ANNA MARSH LANE, BRATTLEBORO, VT 05301
(802) 257-7785
Mailing address
PO BOX 101, BRATTLEBORO, VT 05302-0101
(802) 257-7785
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
037-0001682
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005229
—
VT
Enumeration date
05/04/2007
Last updated
11/01/2007
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