Organization
TRUSTEES OF DARTMOUTH COLLEGE
Active
Other names
Dick Halls House Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON TAYLOR (ASSOC DEAN AND EXECUTIVE OFFICER)
(603) 646-9157
Entity
Organization
Contact information
Practice address
5 ROPE FERRY RD, HANOVER, NH 03755-1404
(603) 646-9456
(603) 646-9447
Mailing address
7 ROPE FERRY RD # 6143, HANOVER, NH 03755-1404
(603) 646-9456
(603) 646-9447
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
0012
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30704155
—
NH
Enumeration date
03/08/2007
Last updated
06/16/2008
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