Organization Name:  ELLIOT HOSPITAL OF THE CITY OF MANCHESTER


Practice Location:
25 LEAVY DR  BEDFORD, NH 03110 US
Tel: 603-472-1282  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	333600000X	Suppliers Pharmacy
N	3336C0004X	Suppliers Pharmacy
N	3336S0011X	Suppliers Pharmacy
Y	3336C0003X	Suppliers Pharmacy	NH	04423

Other Provider Identifiers:

Issuer	Number	State	Type
PK	2177469		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin