Provider Demographics
NPI:1154924975
Name:BARBERI, SILENE R
Entity type:Individual
Prefix:
First Name:SILENE
Middle Name:R
Last Name:BARBERI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 CURTIS RD
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-9634
Mailing Address - Country:US
Mailing Address - Phone:802-793-5279
Mailing Address - Fax:
Practice Address - Street 1:282 BERLIN MALL RD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:VT
Practice Address - Zip Code:05602-8292
Practice Address - Country:US
Practice Address - Phone:802-229-8049
Practice Address - Fax:802-229-8047
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT221490139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist