Fisherville Pharmacy

LBN: Fisherville Pharmacy Llc
Fisherville Pharmacy is an health care organization with primary practice located at 219 Fisherville Rd , Penacook NH 03303-2074. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Fisherville Pharmacy Llc can be contacted via phone (603) 565-0210, or through Kavadias, Steve via phone (603) 565-0210.

Contact Information

Primary practice address
219 Fisherville Rd Penacook NH 03303-2074
Phone: (603) 565-0210
Fax: (603) 565-0214
Website:
Map and Directions
Authorized official contact:
Name: Kavadias, Steve RPH
Phone: (603) 565-0210

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0761 New Hampshire
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1184853723
LBN Legal business name Fisherville Pharmacy Llc
DBA Doing business as Fisherville Pharmacy
Authorized official Kavadias, Steve RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2009
Last updated Jan 18th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184853723 NPPES
Other 2120912 PK
MEDICAID 30707542 PK

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