Mytilini Enterprises
NPI #1376088443 in Bedford, New Hampshire
Provider Information
- NPI Number
- 1376088443
- Entity Type
- Organization
- Organization Name
- Mytilini Enterprises
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 28, 2016
- Last Updated
- Dec 28, 2016
Practice Location
- Address
- 209 ROUTE 101
- City
- Bedford
- State
- New Hampshire
- ZIP Code
- 03110-5440
- Phone
- (603) 472-3919
Authorized Official
- Name
- CHARLES J FANARAS
- Title
- PRESIDENT
- Phone
- (603) 224-9591
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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