Organization
GRANITE STATE COMPOUNDING AND WELLNESS PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALIE COTE PHARMD (OWNER/PHARMACIST)
(603) 325-2556
Entity
Organization
Contact information
Practice address
105 PONEMAH RD, AMHERST, NH 03031-2816
(603) 870-9618
Mailing address
105 PONEMAH RD, AMHERST, NH 03031-2816
(603) 325-2556
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
04/10/2024
Last updated
05/01/2024
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