=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851499883
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SCARLETT DRUG CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/21/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17 MAIN ST
-----------------------------------------------------
City | NEWPORT
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03773-1504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-863-7477
-----------------------------------------------------
Fax | 603-863-7853
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17 MAIN ST
-----------------------------------------------------
City | NEWPORT
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03773-1504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | KEVIN SCARLETT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 603-863-7477
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number | 0602
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------