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Individual

STEPHEN SAM PENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
175 QUEEN CITY AVE STE 1, MANCHESTER, NH 03101-7121
(603) 663-5678
(603) 663-3202
Mailing address
175 QUEEN CITY AVE STE 1, MANCHESTER, NH 03101-7121
(603) 663-5678
(603) 663-3202

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHCY-00917
NH

Other

Enumeration date
10/17/2019
Last updated
07/29/2024
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