| NPI | 1639629199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J REA Staff Pharmacist 603-623-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NH 2235) |
| Enumeration Date | 2016-10-08 |
| Last Update Date | 2016-10-08 |