Individual
MICHELLE GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
334 RT 2, SOUTH HERO, VT 05486
(802) 372-5377
Mailing address
13A E SHORE S, GRAND ISLE, VT 05458-2427
(802) 372-6435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0033.0003577
VT
Other
Enumeration date
05/26/2010
Last updated
10/04/2012
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