Organization
MARY HITCHCOCK MEMORIAL HOSPITAL
Active
Other names
D-H Pharmacy at Centerra
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH B THOMASSET (CHIEF PHARMACY OFFICER)
(781) 760-4849
Entity
Organization
Contact information
Practice address
12 CENTERRA PKWY, LEBANON, NH 03766-1411
(603) 653-3785
(603) 308-3787
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-3785
(603) 653-3896
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
04398
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176032
PK
—
05
—
3111974
—
NH
Enumeration date
02/16/2018
Last updated
04/16/2026
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