Individual
SUSAN KLEMENTOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1623 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-5157
(603) 356-5512
Mailing address
PO BOX 1802, 1623 WHITE MTN HGWY, NORTH CONWAY, NH 03860-1802
(603) 356-5512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2957
NH
183500000X
Pharmacist
PR4566
ME
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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