Individual
DONNA FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
79 BICENTENNIAL DR, MANCHESTER, NH 03104-1306
(603) 644-2204
Mailing address
50 JOANNE DR, HOOKSETT, NH 03106-2007
(603) 318-5660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3403
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3403
NH BOARD OF PHARMACY
NH
Enumeration date
11/06/2020
Last updated
11/06/2020
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