Colonial Village
NPI #1306822077 in Contoocook, New Hampshire
Provider Information
- NPI Number
- 1306822077
- Entity Type
- Organization
- Organization Name
- Colonial Village
- Primary Specialty
- Pharmacist
- Enumeration Date
- Dec 15, 2005
- Last Updated
- May 5, 2008
Practice Location
- Address
- 54 PARK AVE PLAZA
- City
- Contoocook
- State
- New Hampshire
- ZIP Code
- 03229-0338
- Phone
- (630) 746-4600
Authorized Official
- Name
- MARC REAL FOURNIER
- Title
- PRESIDENT CEO
- Phone
- (603) 746-5085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacist |
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