IndividualActive
Mackenzie Laisure, PHARMD
NPI 1053014753 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · White River Junction, VT
Provider details
- NPI number
- 1053014753
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- P10304 (ID)
Practice location
215 N Main St
White River Junction, VT 05009-0001
Phone: (802) 295-9363
Mailing address
3 Margaret St
Monson, MA 01057-9416
Registry dates
- Enumerated
- 2023-03-23
- Last updated
- 2023-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.