Provider Demographics
NPI:1093834657
Name:CANTER, PHILIP LEE (RPH)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:LEE
Last Name:CANTER
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 1:139 MERRYMEETING RD
Mailing Address - Street 2:
Mailing Address - City:NEW DURHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03855-2212
Mailing Address - Country:US
Mailing Address - Phone:603-859-1010
Mailing Address - Fax:
Practice Address - Street 1:104 MILTON RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03868-8615
Practice Address - Country:US
Practice Address - Phone:603-335-7851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist