Individual
TRAVIS ROBERT CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 MAIN ST, EPPING, NH 03042-2425
(603) 679-5839
Mailing address
140 LORDS MILL RD, EPSOM, NH 03234-4917
(603) 738-3440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHCY-01386
NH
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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