Individual
DR. BERNARD PROVENCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1 GRANITE PL STE 200, CONCORD, NH 03301-3271
(603) 226-8686
Mailing address
1 GRANITE PL STE 200, CONCORD, NH 03301-3271
(603) 226-8686
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3524
NH
1835P1200X
Pharmacotherapy Pharmacist
3524
NH
Other
Enumeration date
08/27/2010
Last updated
12/30/2018
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