Healthcare Provider Details

I. General information

NPI: 1801342209
Provider Name (Legal Business Name): ABIGAIL REED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2016
Last Update Date: 08/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 CANAL ST STE 3
BRATTLEBORO VT
05301-3421
US

IV. Provider business mailing address

499 CANAL ST STE 3
BRATTLEBORO VT
05301-3421
US

V. Phone/Fax

Practice location:
  • Phone: 802-257-4204
  • Fax:
Mailing address:
  • Phone: 802-257-4204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number033.0120658
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: