Healthcare Provider Details

I. General information

NPI: 1033232863
Provider Name (Legal Business Name): COLLEEN P FINEGAN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 CHURCH ST
KINGSTON NH
03848-9997
US

IV. Provider business mailing address

18 OAKTREE RD
AUBURN NH
03032-3157
US

V. Phone/Fax

Practice location:
  • Phone: 603-642-3191
  • Fax: 603-642-9017
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3388
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: