Individual provider · Type 1 NPI

Gizelle Geva Medinaceli Boulter, PharmD

Pharmacist · Burlington, VT

NPI number 1649805854 Active

Practice location

111 Colchester Ave
Burlington, VT 05401-1473

Call (802) 847-9665 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XPHCY-00870 (NH)
Pharmacist 183500000XRPH6550 (ND)
Pharmacist Primary 183500000X033.0134443 (VT)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1649805854

Gizelle Geva Medinaceli Boulter, PharmD's National Provider Identifier is 1649805854, issued on Mar 8, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Burlington, VT. The record was last updated on Jul 17, 2025.