Provider Demographics
NPI:1811103641
Name:HASKELL, LURENE R (RPH)
Entity type:Individual
Prefix:MS
First Name:LURENE
Middle Name:R
Last Name:HASKELL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:LURENE
Other - Middle Name:M
Other - Last Name:RIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 WHITE TAIL DR
Mailing Address - Street 2:
Mailing Address - City:EPSOM
Mailing Address - State:NH
Mailing Address - Zip Code:03234-4014
Mailing Address - Country:US
Mailing Address - Phone:603-736-8971
Mailing Address - Fax:
Practice Address - Street 1:344 LOUDON RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-6095
Practice Address - Country:US
Practice Address - Phone:603-226-9327
Practice Address - Fax:603-226-9329
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2810183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist