| NPI | 1124854393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC W NORBERG President/Pharmacist In Charge 207-244-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |