| NPI | 1922217363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO LARIVIERA Parmacy District Supervisor 603-472-2346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NH R1057) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |