Individual
KAITLIN A LATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
412 BROAD ST, LYNDONVILLE, VT 05851-8623
(802) 626-4366
Mailing address
1 GLENWOOD AVE, DOVER, NH 03820-2406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
033.0134211
VT
183500000X
Pharmacist
Primary
04322
NH
Other
Enumeration date
09/20/2017
Last updated
05/09/2022
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