Provider Demographics
NPI:1326254574
Name:ARMSTRONG, LISA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 BLOSSOM RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-1573
Mailing Address - Country:US
Mailing Address - Phone:603-425-2121
Mailing Address - Fax:
Practice Address - Street 1:300 N BROADWAY
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2122
Practice Address - Country:US
Practice Address - Phone:603-894-6128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2284183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist