Individual
MATTHEW S URBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
59 WATERFRONT PLZ, NEWPORT, VT 05855-4877
(802) 334-2313
(802) 334-1671
Mailing address
4408 US RTE. 5, DERBY, VT 05829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
76544
VT
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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