Individual
ZHI SHAN IVY SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WALL ST, CLAREMONT, NH 03743-2751
(603) 542-7742
Mailing address
1 WALL ST, CLAREMONT, NH 03743-2751
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4186
NH
Other
Enumeration date
09/01/2017
Last updated
04/30/2021
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