Individual
RENEE TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 DERRY ST, HUDSON, NH 03051-3754
(603) 880-0248
Mailing address
90 DERRY ST, HUDSON, NH 03051-3754
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3843
NH
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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