Healthcare Provider Details

I. General information

NPI: 1477321438
Provider Name (Legal Business Name): FAITH LEA SAMPLE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FAITH LEA BABOWICZ PHARMD

II. Dates (important events)

Enumeration Date: 12/19/2023
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 COLCHESTER AVE
BURLINGTON VT
05401-1473
US

IV. Provider business mailing address

111 COLCHESTER AVE
BURLINGTON VT
05401-1473
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number033.0134550
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: