Provider Demographics
NPI:1154552859
Name:ST.HILAIRE, RICHARD GEORGE (RPH,CIP)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:GEORGE
Last Name:ST.HILAIRE
Suffix:
Gender:M
Credentials:RPH,CIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 MAMMOTH RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03109-4125
Mailing Address - Country:US
Mailing Address - Phone:603-645-1143
Mailing Address - Fax:603-645-9456
Practice Address - Street 1:270 MAMMOTH RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03109-4125
Practice Address - Country:US
Practice Address - Phone:603-645-1143
Practice Address - Fax:603-645-9456
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2224183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist