Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TY MACWALTERS, CPHT
Active Sole ProprietorInstitutional Pharmacy · BERLIN, VT
Registration Details
- NPI Number
- 1679095475
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2017 (8.7758585783057 yrs)
- Last Updated
- Mar 17, 2018
- License
-
037.0001187 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
130 FISHER ROADCENTRAL VERMONT MEDICAL CENTERBERLIN, VT, 056020560Browse VT providers · Browse ZIP 05602
- Phone
- 8023714857
- Fax
- 8023714408
- Primary Specialty
-
Institutional Pharmacy
3336I0012X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.