Provider Demographics
NPI:1639420029
Name:ROBERTS SCARLETT PHARMACY INC
Entity Type:Organization
Organization Name:ROBERTS SCARLETT PHARMACY INC
Other - Org Name:ROBERTS SCARLETT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/ VP
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCARLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-526-2002
Mailing Address - Street 1:276 NEWPORT RD STE 109
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-5468
Mailing Address - Country:US
Mailing Address - Phone:603-526-2002
Mailing Address - Fax:603-526-4990
Practice Address - Street 1:276 NEWPORT RD STE 109
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:NH
Practice Address - Zip Code:03257-5468
Practice Address - Country:US
Practice Address - Phone:603-526-2002
Practice Address - Fax:603-526-4990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-25
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH07903336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2137119OtherPK