Provider Demographics
NPI:1497456248
Name:TREMBLAY, JAMES PATRICK
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PATRICK
Last Name:TREMBLAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 MILTON RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03868-8604
Mailing Address - Country:US
Mailing Address - Phone:603-335-7851
Mailing Address - Fax:603-335-5393
Practice Address - Street 1:105 MILTON RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03868-8604
Practice Address - Country:US
Practice Address - Phone:603-335-7851
Practice Address - Fax:603-335-5393
Is Sole Proprietor?:No
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHPHT-127296183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician