Provider Demographics
NPI:1033174792
Name:NOVICK, CAROL F (RPH)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:F
Last Name:NOVICK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 ALDRICH LN
Mailing Address - Street 2:
Mailing Address - City:WHEELOCK
Mailing Address - State:VT
Mailing Address - Zip Code:05851-4431
Mailing Address - Country:US
Mailing Address - Phone:802-626-3202
Mailing Address - Fax:802-748-8941
Practice Address - Street 1:415 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:ST JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-1643
Practice Address - Country:US
Practice Address - Phone:802-748-3122
Practice Address - Fax:802-748-8941
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT02851183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist