Healthcare Provider Details

I. General information

NPI: 1568445336
Provider Name (Legal Business Name): WAYNE ARNOLD DUTCH RPH, PHARMD,CGP
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/24/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 DAVIS RD
MERRIMACK NH
03054-3316
US

IV. Provider business mailing address

52 DAVIS RD
MERRIMACK NH
03054-3316
US

V. Phone/Fax

Practice location:
  • Phone: 603-424-7526
  • Fax: 603-424-7526
Mailing address:
  • Phone: 603-424-7526
  • Fax: 603-424-7526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number1788
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number1788
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: