| NPI | 1396418315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS NAVARRO Pharmacy Manager 603-860-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-11-30 |