MARY HITCHCOCK MEMORIAL HOSPITAL
Specialty Pharmacy
Lebanon, New Hampshire
Provider NPI: 1821150806
Organization Information:Organization Name: MARY HITCHCOCK MEMORIAL HOSPITAL
Practice Location:
1 MEDICAL CENTER DR LEBANON, NH 03756 US
Tel: 603-653-3785 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1 MEDICAL CENTER DR LEBANON, NH 03756 US
Tel: 603-653-3785 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 333600000X | Suppliers Pharmacy | ||
N | 3336S0011X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy | NH | 0350 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
30005813 | NH | 05 | |
PK | 2053042 | 01 | |
1004201 | VT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin