Organization
FANARAS ENTERPRISES, INC
Active
Other names
The Prescription Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES JOHN FANARAS RPH (PRESIDENT)
(603) 224-9591
Entity
Organization
Contact information
Practice address
125 N MAIN ST, SUITE #1, CONCORD, NH 03301-4921
(603) 224-9591
(603) 224-5361
Mailing address
125 N MAIN ST, SUITE #1, CONCORD, NH 03301-4921
(603) 224-9591
(603) 224-5361
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0300
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027608
IMMUNIZATION SUPPLIER NUMBER
NH
05
—
80009245
—
NH
Enumeration date
06/21/2005
Last updated
08/19/2014
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