Provider Demographics
NPI:1881807865
Name:NOLIN, DEBRA MARIE (RPH)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:MARIE
Last Name:NOLIN
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:PO BOX 340
Mailing Address - Street 2:15 JUG HILL RD
Mailing Address - City:MILTON MILLS
Mailing Address - State:NH
Mailing Address - Zip Code:03852-0340
Mailing Address - Country:US
Mailing Address - Phone:603-473-2735
Mailing Address - Fax:
Practice Address - Street 1:15 JUG HILL RD
Practice Address - Street 2:
Practice Address - City:MILTON MILLS
Practice Address - State:NH
Practice Address - Zip Code:03852-0340
Practice Address - Country:US
Practice Address - Phone:603-473-2735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR1589183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist