Healthcare Provider Details

I. General information

NPI: 1841450491
Provider Name (Legal Business Name): MICHAEL C FIRNKES RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 PLAINFIELD RD
WEST LEBANON NH
03784-2029
US

IV. Provider business mailing address

285 PLAINFIELD RD
WEST LEBANON NH
03784-2029
US

V. Phone/Fax

Practice location:
  • Phone: 603-298-9680
  • Fax: 603-298-9682
Mailing address:
  • Phone: 603-298-9680
  • Fax: 603-298-9682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3005
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: