Individual
CARLY RAE WERSHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
107 E MAIN ST, WILMINGTON, VT 05363-4000
(802) 464-7575
Mailing address
PO BOX 101, WHITINGHAM, VT 05361-0101
(802) 368-7277
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0134331
VT
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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