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NPI Code Detail

MEDICARE: MS. LISE C FARRAND R.PH.

MEDICARE: MS. LISE C FARRAND R.PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist2395NH
2183500000XPharmacist19151MA
3183500000XPharmacistPS20249FL

General Provider Information

NPI Number : 1639244361
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISE C FARRAND R.PH.
Provider Business Mailing Address
First Line : 4 SCOTT AVE
Second Line :
City : HOOKSETT
State : NH
Zip : 03106-2636
Country : US
Telephone Number : 603-669-3516
Fax Number :
Provider Business Practice Location Address
First Line : 129 PLEASANT ST
Second Line :
City : CONCORD
State : NH
Zip : 03301-3852
Country : US
Telephone Number : 603-271-9427
Fax Number : 603-271-8194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 10/03/2012

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Directions to “ MS. LISE C FARRAND R.PH.” Practice Location

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