Individual
MR. CARL JAY BANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
71 PLEASANT ST, CLAREMONT, NH 03743
(603) 543-0153
Mailing address
12 JACQUELINE AVE, CLAREMONT, NH 03743-5716
(603) 542-4831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1919
NH
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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