Individual
EMILY PHYLLIS FERNALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSPHARMACY
Contact information
Practice address
3073 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-5111
(603) 356-0232
Mailing address
PO BOX 2815, NORTH CONWAY, NH 03860-2815
(603) 939-2446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R0616
NH
Other
Enumeration date
04/22/2007
Last updated
07/08/2007
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