Provider Demographics
NPI:1346612678
Name:SAWYER, JAMES
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:SAWYER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115B MONKTON RD
Mailing Address - Street 2:
Mailing Address - City:VERGENNES
Mailing Address - State:VT
Mailing Address - Zip Code:05491-9778
Mailing Address - Country:US
Mailing Address - Phone:802-877-3148
Mailing Address - Fax:802-877-3018
Practice Address - Street 1:115B MONKTON RD
Practice Address - Street 2:
Practice Address - City:VERGENNES
Practice Address - State:VT
Practice Address - Zip Code:05491-9778
Practice Address - Country:US
Practice Address - Phone:802-877-3148
Practice Address - Fax:802-877-3018
Is Sole Proprietor?:No
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0003809183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist