| NPI | 1598761637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C. WAKELIN Supervising Pharmacist 603-224-9591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NH 0663P) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2010-05-08 |