Individual
KATIE BLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2 WALL ST STE 102, MANCHESTER, NH 03101-1518
(603) 509-2106
Mailing address
33 PINE HILL AVE, NASHUA, NH 03064-1347
(203) 804-5721
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH233923
MA
183500000X
Pharmacist
Primary
R2560
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH233923
BOARD OF PHARMACY
MA
Enumeration date
04/29/2015
Last updated
03/30/2023
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