Healthcare Provider Details

I. General information

NPI: 1659423770
Provider Name (Legal Business Name): SARAH CHAPIN RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 02/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 BRIDGE ST
HENNIKER NH
03242
US

IV. Provider business mailing address

PO BOX 718
HENNIKER NH
03242-0718
US

V. Phone/Fax

Practice location:
  • Phone: 603-428-3456
  • Fax: 603-428-7793
Mailing address:
  • Phone: 603-428-3456
  • Fax: 603-428-7793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0748
License Number StateNH

VIII. Authorized Official

Name: SARAH CHAPIN
Title or Position: OWNER
Credential:
Phone: 603-428-3456