Mallory Anne Ketcham, PHARMD

NPI #1104437813 in Brandon, Vermont

Provider Information

NPI Number: 1104437813
Entity Type: Individual
Name: Mallory Anne Ketcham, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 14, 2020
Last Updated: Dec 19, 2022

Practice Location

Address: 1 UNION ST
City: Brandon
State: Vermont
ZIP Code: 05733-1127
Phone: (802) 247-8050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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