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 |