| NPI | 1255658324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ADKISON Member 207-228-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: HI PHY782) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |