IndividualActive
Brian Fontaine, RPH
NPI 1366656753 · Pharmacotherapy Pharmacist · Lebanon, NH
Provider details
- NPI number
- 1366656753
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- R1081 (NH)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
125 Mascoma St
Lebanon, NH 03766-2647
Phone: (603) 448-7404
Approximate (ZIP-level) locationGet directions
Mailing address
23 Grandview Ave
Lebanon, NH 03766-1870
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.