Organization
COMPOUNDING PHARMACY OF SOUTHERN NEW HAMPSHIRE INC
Active
Other names
Londonderry Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN PULEO (OWNER/PHARMACIST)
(603) 845-5155
Entity
Organization
Contact information
Practice address
1C COMMONS DR UNIT 17, LONDONDERRY, NH 03053-3441
(603) 845-5155
(603) 845-5154
Mailing address
1 COMMONS DR # C, UNIT 17, LONDONDERRY, NH 03053-3441
(603) 845-5155
(603) 845-5154
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0777 P
NH
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136237
PK
—
Enumeration date
12/20/2011
Last updated
08/13/2013
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