Individual
PAUL JOSEPH CREBASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
724 BRATTLEBORO RD, HINSDALE, NH 03451-2359
(603) 386-5548
Mailing address
724 BRATTLEBORO RD, HINSDALE, NH 03451-2359
(603) 386-5548
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
R1140
NH
1835P1200X
Pharmacotherapy Pharmacist
Primary
R1140
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1140
PHARMACIST
NH
Enumeration date
05/26/2019
Last updated
05/26/2019
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