NPI | 1104528363 |
---|---|
Doing Business As | NORTHERN LIGHT PHARMACY DOWNEAST |
Entity Type | Organization |
Authorized Contact | MATTHEW JAY MARSTON Chief Pharmacy Officer 207-275-3239 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2023-03-21 |
Last Update Date | 2023-03-21 |