| NPI | 1336145820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W. FRAZEE Supervising Pharmacist 603-226-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 0655-P) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-08-22 |