Individual
ROBERT HENRY THERIAULT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH., M.B.A.
Contact information
Practice address
243 ELM ST, CLAREMONT, NH 03743-4921
(603) 542-3423
Mailing address
457 MERIDEN RD, LEBANON, NH 03766-2401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R1113
NH
Other
Enumeration date
05/22/2007
Last updated
08/05/2009
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