- Practice location
- 1 Union St, Brandon, VT 05733-1127
- Phone
- 802-247-8050
- Fax
- 802-247-4237
- Last updated
- December 19, 2022
Mallory Anne Ketcham is a Pharmacist based in Brandon, VT. Mallory Anne Ketcham practices in Brandon, VT and has the professional credentials of PHARMD. The NPI Number for Mallory Anne Ketcham is 1104437813 and holds a License No. 033.0134411 (VT). The current practice location address for Mallory Anne Ketcham is 1 Union St, Brandon, VT 05733-1127 and can be reached out via phone at 802-247-8050 and via fax at 802-247-4237.
Provider Profile Details
- NPI Number
- 1104437813
- Provider Name
- Mallory Anne Ketcham
- Credential
- PHARMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Union St, Brandon, VT 05733-1127
- Phone Number
- 802-247-8050
- Fax Number
- 802-247-4237
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 14, 2020
- Last Update Date
- December 19, 2022
- Certification Date
- December 19, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Union St
Brandon, VT 05733-1127 - City
- Brandon
- State
- Vermont
- Zip
- 05733-1127
- Phone Number
- 802-247-8050
- Fax Number
- 802-247-4237
Provider Business Mailing Address Details
- Address
- 1 Union St
Brandon, VT 05733-1127 - City
- Brandon
- State
- VT
- Zip
- 05733-1127
- Phone Number
- 802-247-8050
- Fax Number
- 802-247-4237
License Information
- License Number
- 033.0134411
- License State
- VT
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mallory A Ketcham, PHARMD?
The NPI number of Mallory A Ketcham, PHARMD is 1104437813. It was assigned on August 14, 2020 and is currently active in the NPPES registry.
What is the specialty of Mallory A Ketcham, PHARMD?
Mallory A Ketcham, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in VT under license number 033.0134411.
Where does Mallory A Ketcham, PHARMD practice?
The practice location is 1 Union St, Brandon, VT 05733-1127. The office can be reached at 802-247-8050 (phone) or 802-247-4237 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104437813 directly on the NPPES registry website.