Provider Demographics
NPI:1376676643
Name:WAHNOWSKY, HAROLD JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:
Last Name:WAHNOWSKY
Suffix:JR
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 1:24 PEASLEE HILL RD
Mailing Address - Street 2:
Mailing Address - City:WEARE
Mailing Address - State:NH
Mailing Address - Zip Code:03281-4633
Mailing Address - Country:US
Mailing Address - Phone:603-226-4848
Mailing Address - Fax:603-228-7351
Practice Address - Street 1:246 PLEASANT ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2548
Practice Address - Country:US
Practice Address - Phone:603-226-4848
Practice Address - Fax:603-228-7351
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR1804183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist