Organization
EASTERN STATES COMPOUNDING PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLANCI GIDDINGS (GENERAL MANAGER)
(603) 444-0094
Entity
Organization
Contact information
Practice address
338 UNION ST, LITTLETON, NH 03561-5616
(603) 444-0094
(603) 444-0095
Mailing address
338 UNION ST, LITTLETON, NH 03561-5616
(603) 444-0094
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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