Individual
MICHAELA KASIKOVA HEYSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 S PROSPECT ST, BURLINGTON, VT 05401-3456
(802) 847-7043
Mailing address
1 S PROSPECT ST, BURLINGTON, VT 05401-3456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0095833
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033.0095833
VERMONT PHARMACIST LICENSE
VT
Enumeration date
11/16/2018
Last updated
11/16/2018
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