Individual
RICHARD COUTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
4408 US RTE 5, DERBY, VT 05829-0618
(802) 334-2313
(802) 334-1675
Mailing address
PO BOX 345, NEWPORT, VT 05855-0345
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0052096
VT
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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