Organization
BANNON PHARMACY INC
Active
Other names
BANNON PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
CARL BANNON (PRESIDENT)
(603) 542-4831
Entity
Organization
Contact information
Practice address
109 PLEASANT ST, CLAREMONT, NH 03743-2631
(603) 542-7722
Mailing address
12 JACQUELINE AVE, CLAREMONT, NH 03743-5716
(603) 542-4831
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0038
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3000015
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
80877533
—
NH
Enumeration date
09/21/2006
Last updated
11/03/2011
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