NPI | 1205869559 |
---|---|
Entity Type | Organization |
Authorized Contact | IRA KRESS President 207-885-2518 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MD PO1935) |
Additional Taxonomies | 333600000X Pharmacy (Licence: MD PO1935) |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD PO1935) | |
Enumeration Date | 2006-07-09 |
Last Update Date | 2025-05-07 |