NPI | 1184208613 |
---|---|
Doing Business As | VARIETY DRUG |
Entity Type | Organization |
Authorized Contact | KRISTY KRASNAVAGE Owner 207-474-3393 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2021-05-11 |
Last Update Date | 2025-10-03 |