Provider Demographics
NPI:1568445336
Name:DUTCH, WAYNE ARNOLD (RPH, PHARMD,CGP)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:ARNOLD
Last Name:DUTCH
Suffix:
Gender:M
Credentials:RPH, PHARMD,CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-3316
Mailing Address - Country:US
Mailing Address - Phone:603-424-7526
Mailing Address - Fax:603-424-7526
Practice Address - Street 1:52 DAVIS RD
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-3316
Practice Address - Country:US
Practice Address - Phone:603-424-7526
Practice Address - Fax:603-424-7526
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH17881835P1200X, 1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Not Answered1835P1300XPharmacy Service ProvidersPharmacistPsychiatric