Healthcare Provider Details

I. General information

NPI: 1194157941
Provider Name (Legal Business Name): CONSTANCE B TAYLOR RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2013
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 SPRINGFIELD PLAZA KINNEY DRUGS #152
SPRINGFIELD VT
05156
US

IV. Provider business mailing address

55 SPRINGFIELD PLAZA KINNEY DRUGS #152
SPRINGFIELD VT
05156
US

V. Phone/Fax

Practice location:
  • Phone: 802-885-5311
  • Fax: 802-885-9330
Mailing address:
  • Phone: 802-885-5311
  • Fax: 802-885-9330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number033.0081578
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: