| NPI | 1134448558 |
|---|---|
| Doing Business As | HARVEYS SUPERMARKET PHARMACY #2405 |
| 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 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2011-06-30 |