Basic Information
| Provider Information | |||||||||
| NPI: | 1962454116 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WHITCOMB | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | LYLE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHARMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 30 OLD TOWN ROAD EXT | ||||||||
| Address2: | |||||||||
| City: | EPSOM | ||||||||
| State: | NH | ||||||||
| PostalCode: | 032344552 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6037364653 | ||||||||
| FaxNumber: | 6037364653 | ||||||||
| Practice Location | |||||||||
| Address1: | 718 SMYTH RD | ||||||||
| Address2: | |||||||||
| City: | MANCHESTER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 031047004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036244366 | ||||||||
| FaxNumber: | 6036266562 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2006 | ||||||||
| LastUpdateDate: | 06/09/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P1200X | 2195 | NH | N | Pharmacy Service Providers | Pharmacist | Pharmacotherapy | 1835G0303X | 2195 | NH | Y | Pharmacy Service Providers | Pharmacist | Geriatric |
No ID Information.