Provider Demographics
NPI:1437725546
Name:GURNEY, SAMANTHA J (PHARMD)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:J
Last Name:GURNEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:J
Other - Last Name:TYRRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:14 GURNEY RD
Mailing Address - Street 2:
Mailing Address - City:NORTH SPRINGFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05150-9750
Mailing Address - Country:US
Mailing Address - Phone:802-683-7525
Mailing Address - Fax:
Practice Address - Street 1:112 ROCKINGHAM ST
Practice Address - Street 2:
Practice Address - City:BELLOWS FALLS
Practice Address - State:VT
Practice Address - Zip Code:05101-1331
Practice Address - Country:US
Practice Address - Phone:802-463-9910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-29
Last Update Date:2021-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0003723183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist