Provider Demographics
NPI:1194328021
Name:BISSONNETTE, MEGHAN BARRY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:BARRY
Last Name:BISSONNETTE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MEGHAN
Other - Middle Name:ELIZABETH
Other - Last Name:BARRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:247 FOX RUN
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05446-3949
Mailing Address - Country:US
Mailing Address - Phone:860-227-9171
Mailing Address - Fax:
Practice Address - Street 1:1 DORSET ST
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6232
Practice Address - Country:US
Practice Address - Phone:802-651-1449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-21
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0096156183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist