Provider Demographics
NPI:1609084953
Name:CERRETANI, MADELEINE ANN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MADELEINE
Middle Name:ANN
Last Name:CERRETANI
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 1:34 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-3475
Mailing Address - Country:US
Mailing Address - Phone:603-894-0107
Mailing Address - Fax:603-458-1094
Practice Address - Street 1:34 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-3475
Practice Address - Country:US
Practice Address - Phone:603-894-0107
Practice Address - Fax:603-458-1094
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR988183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist