Individual
JUSTIN LACHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
30 SHELBURNE SHOPPING PARK, SHELBURNE, VT 05482-7488
(802) 985-2610
Mailing address
84 CHAMBERLAIN ST, ROCHESTER, NH 03867-3301
(603) 973-3401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0330134920
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0330134920
VERMONT PHARMACIST LICENSE
VT
Enumeration date
02/13/2023
Last updated
02/13/2023
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