Individual
MRS. STACEY NAULT-BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
271 MAMMOTH RD, MANCHESTER, NH 03109-4124
(603) 623-3995
Mailing address
281 ROUTE 129, LOUDON, NH 03307-1337
(603) 568-8863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2801
NH
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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