Provider Demographics
NPI:1003894924
Name:GRIFFIN, PAUL E (RPH)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:E
Last Name:GRIFFIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 PEASELEE CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NH
Mailing Address - Zip Code:03858-3805
Mailing Address - Country:US
Mailing Address - Phone:978-273-9267
Mailing Address - Fax:
Practice Address - Street 1:133 ORNAC
Practice Address - Street 2:EMERSON HOSPITAL
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-4159
Practice Address - Country:US
Practice Address - Phone:978-287-3769
Practice Address - Fax:978-287-3670
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19612183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist