Provider Demographics
NPI:1841450491
Name:FIRNKES, MICHAEL C (RPH)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:C
Last Name:FIRNKES
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 1:285 PLAINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WEST LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03784-2029
Mailing Address - Country:US
Mailing Address - Phone:603-298-9680
Mailing Address - Fax:603-298-9682
Practice Address - Street 1:285 PLAINFIELD RD
Practice Address - Street 2:
Practice Address - City:WEST LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03784-2029
Practice Address - Country:US
Practice Address - Phone:603-298-9680
Practice Address - Fax:603-298-9682
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3005183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist