| NPI | 1184645921 |
|---|---|
| Doing Business As | ST. JOHN VALLEY LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALAIN BOIS COO 207-834-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-02-11 |