| NPI | 1881817294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JOHN FANARAS CEO 603-224-9591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: NH 0655P) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2017-04-21 |