Provider Demographics
NPI:1265723001
Name:HUYER, GARRET H (RPH)
Entity type:Individual
Prefix:
First Name:GARRET
Middle Name:H
Last Name:HUYER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 LAUREL HILL DR
Mailing Address - Street 2:
Mailing Address - City:S BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-7379
Mailing Address - Country:US
Mailing Address - Phone:802-865-4053
Mailing Address - Fax:
Practice Address - Street 1:108 CORNERSTONE DR
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-4034
Practice Address - Country:US
Practice Address - Phone:802-878-1118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT33-0002711183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist