Individual
LISA J HOMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
207 NORTH ST, BENNINGTON, VT 05201-1829
(802) 442-4600
Mailing address
207 NORTH ST, BENNINGTON, VT 05201-1829
(802) 442-4600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033-0003030
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02921575
—
NY
05
—
1013888
—
VT
Enumeration date
04/28/2008
Last updated
04/28/2008
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