Organization
KENS PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN M GILLIS R.PH. (PRESIDENT)
(603) 623-2813
Entity
Organization
Contact information
Practice address
36 ELM ST, MANCHESTER, NH 03101-2724
(603) 623-2813
(603) 626-7308
Mailing address
36 ELM ST, MANCHESTER, NH 03101-2724
(603) 623-2813
(603) 626-7308
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
293
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30002659
—
NH
01
—
3000356
NCPDP #
NH
Enumeration date
08/17/2006
Last updated
08/22/2020
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