Organization
MYTILINI ENTERPRISES LLC
Active
Other names
THE PRESCRIPTION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE FANARAS RPH (OWNER)
(603) 224-9591
Entity
Organization
Contact information
Practice address
18 FOUNDRY ST, SUITE 102, CONCORD, NH 03301-5419
(603) 224-2111
(603) 225-4907
Mailing address
18 FOUNDRY ST, SUITE 102, CONCORD, NH 03301-5419
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0746
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3061075
OTHER ID NUMBER
—
Enumeration date
04/29/2008
Last updated
06/25/2008
About Stedi
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