Basic Information
| Provider Information | |||||||||
| NPI: | 1548548647 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SUTTON | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | ESTELLE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARM.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 261 MOUNTAIN VIEW DR | ||||||||
| Address2: | |||||||||
| City: | COLCHESTER | ||||||||
| State: | VT | ||||||||
| PostalCode: | 054465823 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8027352643 | ||||||||
| FaxNumber: | 8026540716 | ||||||||
| Practice Location | |||||||||
| Address1: | 261 MOUNTAIN VIEW DR | ||||||||
| Address2: | |||||||||
| City: | COLCHESTER | ||||||||
| State: | VT | ||||||||
| PostalCode: | 054465823 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8027352643 | ||||||||
| FaxNumber: | 8026540716 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2011 | ||||||||
| LastUpdateDate: | 07/25/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P0018X | P010794 | MS | Y | Pharmacy Service Providers | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
No ID Information.