| NPI | 1699124057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTANNA J. PAULHUS Pharmacy Manger 603-455-4312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT 0012919) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |