Individual
MICHELLE COUSINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1 MEDICAL CENTER DRIVE, LEBANON, NH 03756
(603) 650-5593
Mailing address
PO BOX 183, NEW LONDON, NH 03257-0183
(603) 927-4775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3157
NH
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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