| NPI | 1174993380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER WHEELER President Of Pharmacy 207-885-2518 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2025-05-02 |