Healthcare Provider Details

I. General information

NPI: 1124795810
Provider Name (Legal Business Name): PAULA JANE COUTURIER PHARMACY TECHNICIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 08/30/2021
Certification Date: 08/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W MAIN ST
HILLSBOROUGH NH
03244-5234
US

IV. Provider business mailing address

315 W MAIN ST
HILLSBOROUGH NH
03244-5234
US

V. Phone/Fax

Practice location:
  • Phone: 603-464-5678
  • Fax: 603-464-2572
Mailing address:
  • Phone: 603-464-5678
  • Fax: 306-464-2752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: