Organization
PENACOOK PHARMACY LLC
Active
Other names
PENACOOK PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH NAVOY TECH (MANAGER)
(603) 753-6391
Entity
Organization
Contact information
Practice address
305 VILLAGE ST, PENACOOK, NH 03303-4508
(603) 753-6391
(603) 753-8664
Mailing address
305 VILLAGE ST, PENACOOK, NH 03303-4508
(603) 753-6391
(603) 753-8664
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0180
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3000231
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
3080329
—
NH
Enumeration date
11/01/2006
Last updated
01/11/2022
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