Individual
SHANNON DETELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
242 MAIN ST, NASHUA, NH 03060-2931
(603) 886-1786
(603) 880-3937
Mailing address
242 MAIN ST, NASHUA, NH 03060-2931
(603) 886-1786
(603) 880-3937
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3581
NH
Other
Enumeration date
08/14/2016
Last updated
08/14/2016
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