Provider Demographics
NPI:1386004786
Name:LAPIN, DOMINIQUE (RPH)
Entity Type:Individual
Prefix:
First Name:DOMINIQUE
Middle Name:
Last Name:LAPIN
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 1:311 PAQUETTE AVE
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-1756
Mailing Address - Country:US
Mailing Address - Phone:603-623-2479
Mailing Address - Fax:
Practice Address - Street 1:4 ORCHARD VIEW DR
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053
Practice Address - Country:US
Practice Address - Phone:603-437-6933
Practice Address - Fax:603-437-4531
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2343183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist