| NPI | 1205997020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ROY Owner 207-861-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ME PH50001163) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-31 |