Provider Demographics
NPI:1235425216
Name:CROZIER, DYAN E (PHARMD)
Entity Type:Individual
Prefix:
First Name:DYAN
Middle Name:E
Last Name:CROZIER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 QUALITY DR
Mailing Address - Street 2:T-1520
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-2651
Mailing Address - Country:US
Mailing Address - Phone:603-621-0672
Mailing Address - Fax:603-621-0672
Practice Address - Street 1:100 QUALITY DR
Practice Address - Street 2:T-1520
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-2651
Practice Address - Country:US
Practice Address - Phone:603-621-0672
Practice Address - Fax:603-621-0672
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR2204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist