Organization
ELLIOT HOSPITAL OF THE CITY OF MANCHESTER
Active
Parent organization
ELLIOT HOSPITAL OF THE CITY OF MANCHESTER
Other names
Elliot Pharmacy at Bedford
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIOT HOSPITAL OF THE CITY OF MANCHESTER
Authorized official
RICHARD MAXWELL (DIRECTOR OF FINANCE)
(603) 663-5573
Entity
Organization
Contact information
Practice address
25 LEAVY DR, BEDFORD, NH 03110
(603) 472-1282
(603) 472-1280
Mailing address
25 LEAVY DR, BEDFORD, NH 03110-4437
(603) 472-1282
(603) 472-1280
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
04423
NH
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177469
PK
—
Enumeration date
05/04/2018
Last updated
08/01/2018
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