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NPI Code Detail

MEDICARE: JOHN H EDDY RPH, MS

MEDICARE: JOHN H EDDY RPH, MS
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
1183500000XPharmacistR0899NH
21835N1003XNutrition Support PharmacistR0899NH
31835P1200XPharmacotherapy PharmacistR0899NH

General Provider Information

NPI Number : 1700861796
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN H EDDY RPH, MS
Provider Business Mailing Address
First Line : 5 BLACKBERRY LN
Second Line :
City : LANCASTER
State : NH
Zip : 03584-3202
Country : US
Telephone Number : 603-788-4834
Fax Number :
Provider Business Practice Location Address
First Line : 173 MIDDLE ST
Second Line :
City : LANCASTER
State : NH
Zip : 03584-3508
Country : US
Telephone Number : 603-788-5038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 09/11/2025

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