Individual
JAKE SCOTT LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
250 COMMERCIAL ST, MANCHESTER, NH 03101-1142
(855) 745-5725
Mailing address
24 SYLVAN ST, MELROSE, MA 02176-5237
(781) 697-0644
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH238320
MA
183500000X
Pharmacist
Primary
PHCY-04503
NH
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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