Individual
THEA MARIE YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
99 MAPLE ST, MIDDLEBURY, VT 05753-1595
(802) 388-3784
(802) 388-1720
Mailing address
99 MAPLE ST, MIDDLEBURY, VT 05753-1595
(802) 388-3784
(802) 388-1720
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033-0003732
VT
183500000X
Pharmacist
PS35704
FL
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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