Provider Demographics
NPI:1811369242
Name:SLEEPER, DEBORAH (BS PHARMACY)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:SLEEPER
Suffix:
Gender:F
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 LOWER PLN
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05033-8924
Mailing Address - Country:US
Mailing Address - Phone:802-222-9292
Mailing Address - Fax:802-222-5549
Practice Address - Street 1:901 LOWER PLN
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:VT
Practice Address - Zip Code:05033-8924
Practice Address - Country:US
Practice Address - Phone:802-222-9292
Practice Address - Fax:802-222-5549
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
VT033-0003561183500000X
NH3266183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist