Provider Demographics
NPI:1437608510
Name:TOBIN, DAVID DOMINIC (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:DOMINIC
Last Name:TOBIN
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 1:7 PULPIT RUN
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-1510
Mailing Address - Country:US
Mailing Address - Phone:603-490-4999
Mailing Address - Fax:
Practice Address - Street 1:311 DANIEL WEBSTER HWY
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-5702
Practice Address - Country:US
Practice Address - Phone:603-888-0514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-29
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH20547183500000X
NHR1924183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist