Organization
HEALTH CENTER PHARMACY LLC
Active
Other names
HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD BEANE (MEMBER)
(603) 393-8096
Entity
Organization
Contact information
Practice address
11 JOHN STARK HWY, SUITE B, NEWPORT, NH 03773-1807
(603) 865-5445
(603) 865-5384
Mailing address
PO BOX 152, LACONIA, NH 03247-0152
(603) 865-5445
(603) 865-5384
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0793
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166239
PK
—
05
—
3106361
—
NH
Enumeration date
07/31/2016
Last updated
03/07/2017
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