Provider Demographics
NPI:1902013592
Name:EMERSON, DEBRA MARIE (RPH)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:MARIE
Last Name:EMERSON
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:P.O. BOX 3355
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03826
Mailing Address - Country:US
Mailing Address - Phone:781-596-7737
Mailing Address - Fax:
Practice Address - Street 1:COMMERCE PARK NORTH
Practice Address - Street 2:UNIT 4
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110
Practice Address - Country:US
Practice Address - Phone:603-625-8880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2835183500000X
MA22216183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist