| NPI | 1235222605 |
|---|---|
| Doing Business As | BLOOM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STACIE CURRAN Third Party Manager 207-885-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 8809) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-08-22 |