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Individual

MR. CHARLES JOHN FANARAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
125 N MAIN ST, SUITE #1, CONCORD, NH 03301-4921
(603) 224-9591
(603) 226-7100
Mailing address
1 GRANITE PL STE 200N, CONCORD, NH 03301-3271
(032) 236-3111

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2408
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2408
NEW HAMPSHIRE BOARD OF PHARMACY
NH
Enumeration date
01/19/2007
Last updated
12/29/2020
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