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Courtney Parker | Pharmacist-In-Charge

Courtney Parker, Pharm. D, RPh, was first certified in 2017 as a bio-identical hormone replacement therapy specialist though Professional Compounding Centers of America's advanced educational training program. She has since become a fellow of the American Academy of Anti-Aging Medicine where her training includes an in depth understanding of the latest research in endocrinology, cardiology, neurology, gastroenterology, nutrition, and a variety of other fields.

Courtney works with both patients and providers to provide an integrative approach to disease state management in an effort to promote total body wellness for all out patients.

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


Natalie Cote | Operations Manager

Natalie Cote, Pharm. D, RPh, has over 12 years of experience with pharmaceutical compounding. Her training started with hands on experience in a compounding pharmacy and continued through several experiential rotations and advanced training through Professional Compounding Centers of America. Natalie serves as a preceptor to students at local colleges of pharmacy. She specializes in pharmacy operations and development of compounded medication therapies.

At PerforMIX, 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

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 PerforMix Specialty 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