Granite State Compounding and Wellness Pharmacy Owners

Natalie Cote - Pharmacy Manager and Owner

Natalie Cote | Pharmacy Manager/Owner

Natalie Cote, PharmD, has over 12 years of experience with pharmaceutical compounding and customized solutions. Her training started with hands-on experience in a compounding pharmacy and continued through several experiential rotations. She did advanced training through Professional Compounding Centers of America and a specialized certification as a Pain Management Specialist. Natalie also serves as a preceptor to students at local colleges of pharmacy. Natalie is passionate about developing tailored medication therapies and enjoys serving as a clinical resource for practitioners.

At Granite State Compounding and Wellness Pharmacy, Natalie continues to deliver optimal compounded medication therapies by pairing thoughtful collaboration with patients and providers with the highest quality compounding standards.

Natalie can be reached via email at or by telephone (603) 870-9618.

James A. Tomacchio Sr.  - Director of Pharmacy and Owner

James A. Tomacchio Sr. | Director of Pharmacy/Owner

As Director of Pharmacy, Tomacchio holds a Bachelor of Science in Pharmacy from Northeastern University, and has been a dedicated health care professional since 1979. Over the years, Tomacchio has worked in numerous capacities, serving as a nursing home consultant, retail pharmacist, and liaison for managed care and as an on-site pharmacist and compounding specialist for four major hospitals.

At Granite State Compounding and Wellness Pharmacy, Tomacchio takes pride in his ability to build meaningful, lasting relationships with both patients and doctors, and working to meet their needs on all levels. His incredible dedication to disease state management and patient advocacy is evident, as he works to provide integrated solutions aimed at improving patient outcomes.

Tomacchio can be reached by email at

PerforMIX Pharmacists


Christian Peterson | Staff Pharmacist

Christian Peterson, PharmD, graduated from UMASS Amherst with a biology degree and decided to further his career by attending and graduating from Massachusetts College of Pharmacy in Boston. After working almost 20 years in retail pharmacy, he is excited to be back in the field of what pharmacy used to be, compounding medications to support patient's specific needs. In Christian's spare time he enjoys working out, basketball, spending time with his family, and collecting Lego's.