Individual
KIRAN MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 AMHERST ST, NASHUA, NH 03063-1002
(603) 324-0040
Mailing address
600 AMHERST ST, NASHUA, NH 03063-1002
(603) 324-0040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH26513
MA
183500000X
Pharmacist
Primary
R1999
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0610
SANU
—
Enumeration date
08/18/2013
Last updated
11/29/2020
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