Provider Demographics
NPI:1770611154
Name:DUNKERLEY, JEAN E (RPH)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:E
Last Name:DUNKERLEY
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 1:424 MOUSAM RD
Mailing Address - Street 2:
Mailing Address - City:STRAFFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03884-6370
Mailing Address - Country:US
Mailing Address - Phone:603-335-4647
Mailing Address - Fax:
Practice Address - Street 1:118 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4028
Practice Address - Country:US
Practice Address - Phone:603-742-3995
Practice Address - Fax:603-742-8180
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2011-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2290183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist