Provider Demographics
NPI:1871828194
Name:COLLOPY, ERIN MELISSA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MELISSA
Last Name:COLLOPY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3914
Mailing Address - Country:US
Mailing Address - Phone:603-978-2406
Mailing Address - Fax:
Practice Address - Street 1:71 LOWELL RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-1709
Practice Address - Country:US
Practice Address - Phone:978-369-5802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH232572183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist