Individual
MR. JIM MICHIENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
5 KENWOOD DR, NEWTON, NH 03858-3916
(603) 682-2180
Mailing address
5 KENWOOD DR, NEWTON, NH 03858-3916
(603) 682-2180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18770
NH
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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