Organization
MLJC INC
Active
Other names
Fisherville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA RASLA (PRESIDENT)
(781) 803-0976
Entity
Organization
Contact information
Practice address
219 FISHERVILLE RD, UNIT C, PENACOOK, NH 03303
(603) 565-0210
(603) 565-0214
Mailing address
219 FISHERVILLE RD, UNIT C, PENACOOK, NH 03303
(603) 565-0210
(603) 565-0214
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
0761
NH
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120912
PK
—
05
—
30707542
—
NH
Enumeration date
07/03/2009
Last updated
03/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us