| NPI | 1568657740 |
|---|---|
| Doing Business As | EASTERN STATES COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID A ROCHEFORT Owner 603-444-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2014-06-25 |