Natalie Cote | Pharmacist-In-Charge

Natalie Cote, PharmD, 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 and a specialized certification as a Pain Management Specialist. 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.


Paige Choi | Compounding Pharmacist

Paige Choi, PharmD, first began working as a compounding pharmacist in 2016 at a Boston teaching hospital compounding sterile products and overseeing the compounding of non-sterile products for in-patients. She also worked at a local pharmacy university as an adjunct faculty member assisting in the sterile compounding lab overseeing 5th year pharmacy students. During her pharmacy career, she has spent time working in hazardous compounding, overseeing compounding, and sterile preparation of hazardous compounds including chemotherapy and monoclonal antibodies. She has presented for continuing education credit in her field for both sterile and non-sterile compounding and looks forward to providing more education-based presentations in the future,

Paige believes that her varied experience in compounding will continue to provide safe and effective care, as well as better outcomes for all patients.

Paige 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