Individual
MR. LARRY ALBERT RENAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
82 RT 15 W, HARDWICK, VT 05843
(802) 472-6961
(802) 472-8207
Mailing address
82 ROUTE 15 WEST, HARDWICK, VT 05843
(802) 472-6961
(802) 472-8207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0003198
VT
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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