Provider Demographics
NPI:1265598957
Name:D'URSO, DONALD A (RPH)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:A
Last Name:D'URSO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BRISTOL HILL RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-1318
Mailing Address - Country:US
Mailing Address - Phone:603-893-9053
Mailing Address - Fax:
Practice Address - Street 1:4 ORCHARD VIEW DR
Practice Address - Street 2:OSCO PHARMACY
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3372
Practice Address - Country:US
Practice Address - Phone:603-437-6933
Practice Address - Fax:603-437-4531
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1786183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist