Individual
MI RI YIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115B MONKTON RD, VERGENNES, VT 05491-9778
(802) 877-3148
(802) 877-3018
Mailing address
115B MONKTON RD, VERGENNES, VT 05491-9778
(802) 877-3148
(802) 877-3018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0111730
VT
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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