Individual
MRS. TARA G GENDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
161 CORPORATE DR, PORTSMOUTH, NH 03801-6825
(603) 436-0562
(603) 427-6155
Mailing address
161 CORPORATE DR, PORTSMOUTH, NH 03801-6825
(603) 436-0562
(603) 427-6155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3999
ME
183500000X
Pharmacist
R1354
NH
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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