Organization
MYTILINI ENTERPRISES
Active
Other names
BEDFORD PHARMACY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J FANARAS (PRESIDENT)
(603) 224-9591
Entity
Organization
Contact information
Practice address
209 ROUTE 101, BEDFORD, NH 03110-5440
(603) 472-3919
(603) 472-7448
Mailing address
209 ROUTE 101, BEDFORD, NH 03110-5440
(603) 472-3919
(603) 472-7448
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NH
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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