| NPI | 1003664889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN FRANCIS MCNAMARA Authorized Person 603-354-4619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-08-15 |