Individual
STACY EMILY BRUYNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
82 PEARL ST, ESSEX JUNCTION, VT 05452-3642
(802) 878-5351
Mailing address
3 RAYMOND DR, ESSEX JUNCTION, VT 05452-3867
(802) 872-9318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3338
VT
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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