| NPI | 1114266202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER WALCEK CFO 603-742-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: NH 0093) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2018-10-31 |