Individual
THOMAS MAURICE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 ROUTE 30 N, BOMOSEEN, VT 05732-9647
(802) 468-5800
(802) 468-5811
Mailing address
275 ROUTE 30 N, BOMOSEEN, VT 05732-9647
(802) 468-5800
(802) 468-5811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033-0002631
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033-0002631
PHARMACIST LICENSE
VT
Enumeration date
10/30/2008
Last updated
10/30/2008
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