| NPI | 1619747748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MCNAMARA Authorized Person 603-354-4619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-07-24 |