Lisa M Barlow
Individual provider Active NPI Pharmacist · Bennington, VT
NPI 1780199794 · NPPES record last updated Dec 13, 2017
Key facts
- NPI
- 1780199794
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 033.0003442 (VT)
- Practice address
- 205 North St
Bennington, VT 05201-1829 - Phone
- (802) 442-5602
- Fax
- (802) 442-3931
- NPI assigned
- Dec 13, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033.0003442 | VT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033.0003442 | VT | Yes |
Addresses
Primary practice location
205 North St
Bennington, VT 05201-1829
Mailing address
PO Box 737
Bennington, VT 05201-0737
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033.0003442 | Other | VT | PHARMACIST LICENSE |
Other providers in Bennington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.