Individual
KRISTEN PAVELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 MOUNTAIN VIEW DR, COLCHESTER, VT 05446-5967
(802) 655-2536
(802) 655-2629
Mailing address
66 MOUNTAIN VIEW DR, COLCHESTER, VT 05446-5967
(802) 655-2536
(802) 655-2629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0003293
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033.0003293
VT RPH LICENSE
VT
Enumeration date
03/14/2016
Last updated
03/14/2016
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