Provider Demographics
NPI:1124758438
Name:PEDRO, KASSANDRA CYNTHIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KASSANDRA
Middle Name:CYNTHIA
Last Name:PEDRO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-3156
Mailing Address - Country:US
Mailing Address - Phone:603-332-9360
Mailing Address - Fax:603-332-8925
Practice Address - Street 1:104 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-3156
Practice Address - Country:US
Practice Address - Phone:603-332-9360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHPHCY01336183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist