Organization
FANARIAN ENTERPRISES, LLC
Active
Other names
The Prescription Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN C. WAKELIN RPH (SUPERVISING PHARMACIST)
(603) 224-9591
Entity
Organization
Contact information
Practice address
60 COMMERCIAL ST, STE 103, CONCORD, NH 03301-5096
(603) 415-0100
(603) 415-0104
Mailing address
60 COMMERCIAL ST, STE 103, CONCORD, NH 03301-5096
(603) 415-0100
(603) 415-0104
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0663P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30703127
—
NH
Enumeration date
06/23/2005
Last updated
05/08/2010
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