Provider Demographics
NPI:1124805973
Name:TIPTON, BRITTANY CHRISTINE (PHARMD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:CHRISTINE
Last Name:TIPTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 EAST ST
Mailing Address - Street 2:
Mailing Address - City:PROCTOR
Mailing Address - State:VT
Mailing Address - Zip Code:05765-1205
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:38 RUTLAND SHOPPING PLZ
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-5201
Practice Address - Country:US
Practice Address - Phone:802-747-7887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0135040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist