Provider Demographics
NPI:1043977606
Name:CONTE, ERIC R (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:R
Last Name:CONTE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WATERFORD WAY UNIT 212
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-8115
Mailing Address - Country:US
Mailing Address - Phone:603-475-0922
Mailing Address - Fax:
Practice Address - Street 1:19 WILTON RD STE 1A
Practice Address - Street 2:
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-1799
Practice Address - Country:US
Practice Address - Phone:603-924-3632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHPHCY-01261183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist