| NPI | 1346533015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZAR A KORBEY Owner 603-893-7905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NH 7069) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |