Mallory Anne Ketcham, PHARMD

Pharmacist · Brandon, VT

Individual Active NPI

NPI number 1104437813

Practice location

1 Union St
Brandon, VT 05733-1127
Phone
(802) 247-8050
Fax
(802) 247-4237

Open in Google Maps

NPI record

NPI
1104437813
Entity type
Individual (Type 1)
Enumeration date
August 14, 2020
Last updated
December 19, 2022
Certified
December 19, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 033.0134411 VT

About Dr. Ketcham

Mallory Anne Ketcham, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1 Union St, Brandon, VT 05733-1127. The NPI number 1104437813 was assigned on August 14, 2020 and the record was last updated on December 19, 2022.

Dr. Ketcham lists a license in the registry: #033.0134411 (VT) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mallory Anne Ketcham, PHARMD?

The NPI number is 1104437813.

What is the phone number of Dr. Ketcham?

The phone number listed for the practice location is (802) 247-8050.

Where is Dr. Ketcham located?

1 Union St, Brandon, VT 05733-1127.

What is the taxonomy code for Dr. Ketcham?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacist providers in Brandon

All Pharmacist providers in Brandon, VT →