Provider Demographics
NPI:1124458278
Name:SANTOS, PAUL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:SANTOS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 STEELE HILL RD
Mailing Address - Street 2:
Mailing Address - City:SANBORNTON
Mailing Address - State:NH
Mailing Address - Zip Code:03269-2605
Mailing Address - Country:US
Mailing Address - Phone:603-527-2928
Mailing Address - Fax:
Practice Address - Street 1:548 STEELE HILL RD
Practice Address - Street 2:
Practice Address - City:SANBORNTON
Practice Address - State:NH
Practice Address - Zip Code:03269-2605
Practice Address - Country:US
Practice Address - Phone:603-527-2928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME40101835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist