Provider Demographics
NPI:1477140515
Name:CHASSE, TROY (PHARMD)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:
Last Name:CHASSE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 FIRST NH TPKE
Mailing Address - Street 2:
Mailing Address - City:NORTHWOOD
Mailing Address - State:NH
Mailing Address - Zip Code:03261-3400
Mailing Address - Country:US
Mailing Address - Phone:603-942-8891
Mailing Address - Fax:603-942-8799
Practice Address - Street 1:174 FIRST NH TPKE
Practice Address - Street 2:
Practice Address - City:NORTHWOOD
Practice Address - State:NH
Practice Address - Zip Code:03261-3400
Practice Address - Country:US
Practice Address - Phone:603-942-8891
Practice Address - Fax:603-942-8799
Is Sole Proprietor?:No
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3496183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist