| NPI | 1104934579 |
|---|---|
| Doing Business As | HARVEYS SUPERMARKET PHARMACY #2398 |
| Entity Type | Organization |
| Authorized Contact | COURTNEY FAIRBANKS Pharmacy Insurance Specialist 207-885-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA PHRE008270) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2011-03-15 |