Individual
DR. EHIMEN AISABORHALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 SUMMER ST, BRISTOL, NH 03222-3213
(603) 744-2652
Mailing address
360 SUMMER ST, BRISTOL, NH 03222-3213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
04331
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04331
NH BOARD OF PHARMACY
NH
Enumeration date
09/27/2017
Last updated
09/27/2017
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