| NPI | 1932323136 |
|---|---|
| Doing Business As | EASTERN STATES COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CLANCI GIDDINGS General Manager 603-444-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NH 0682) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2022-03-15 |