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NPI Code Detail

MEDICARE: TAYLOR ROBICHAUD

MEDICARE: TAYLOR ROBICHAUD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist033.0112527VT

General Provider Information

NPI Number : 1609349588
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR ROBICHAUD
Provider Business Mailing Address
First Line : 1300 SPEAR ST
Second Line :
City : SOUTH BURLINGTON
State : VT
Zip : 05403-7403
Country : US
Telephone Number : 518-268-3008
Fax Number :
Provider Business Practice Location Address
First Line : 71 BOXWOOD ST
Second Line :
City : WILLISTON
State : VT
Zip : 05495-8211
Country : US
Telephone Number : 151-826-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2019
Last Update Date : 01/03/2019

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Directions to “ TAYLOR ROBICHAUD ” Practice Location

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