Individual
SHANE M. PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
42 WOLF RD UNIT 331, LEBANON, NH 03766-1953
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHCY-01506
NH
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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