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Organization

COLONIAL CLINICAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLENN PERREAULT PHARMD (OWNER/AUTHORIZED OFFICIAL)
(603) 526-2233
Entity
Organization

Contact information

Practice address
82 NEWPORT RD, NEW LONDON, NH 03257-5414
(603) 526-2233
(603) 526-2235
Mailing address
PO BOX 10, NEW LONDON, NH 03257-0010
(603) 526-2233
(603) 526-2235

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
07/15/2021
Last updated
07/15/2021
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