Provider Demographics
NPI:1982257309
Name:CORKERY, BARBARA ELLEN (RPH)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ELLEN
Last Name:CORKERY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:ELLEN
Other - Last Name:KINIRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:69 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-2931
Mailing Address - Country:US
Mailing Address - Phone:802-223-4633
Mailing Address - Fax:802-223-4634
Practice Address - Street 1:69 MAIN ST
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-2931
Practice Address - Country:US
Practice Address - Phone:802-223-4633
Practice Address - Fax:802-223-4634
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0003735183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist