Basic Information
| Provider Information | |||||||||
| NPI: | 1932295623 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CALLAHAN | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | POMEROY | ||||||||
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| Credential: | RPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 SOUTH ROAD | ||||||||
| Address2: | |||||||||
| City: | DEERFIELD | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03037 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6034637670 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | VA MEDICAL CENTER | ||||||||
| Address2: | 718 SMYTH ROAD | ||||||||
| City: | MANCHESTER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036244366 | ||||||||
| FaxNumber: | 6036266562 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P1200X | 2714 | MT | Y | Pharmacy Service Providers | Pharmacist | Pharmacotherapy |
No ID Information.