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1679095475
TY MACWALTERS
BERLIN, VT
NPI
1679095475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3336I0012X Pharmacy, Institutional Pharmacy
(Licence: VT 037.0001187)
Enumeration Date
2017-07-13
Last Update Date
2018-03-17
Business Address
TY MACWALTERS CPhT
130 FISHER ROAD CENTRAL VERMONT MEDICAL CENTER
BERLIN, VT 05602-0560
Phone number: 802-371-4857
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Mailing Address
TY MACWALTERS CPhT
PO BOX 547
BARRE, VT 05641-0547
Phone number: 802-371-4169
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