Individual
MICHELLE BOU-MITRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
271 MAMMOTH RD, MANCHESTER, NH 03109-4124
(603) 623-3995
Mailing address
14 ROLLING RIDGE RD, WINDHAM, NH 03087-2120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3769
NH
183500000X
Pharmacist
PS51777
FL
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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