NPI | 1285713958 |
---|---|
Doing Business As | VARIETY DRUG |
Entity Type | Organization |
Authorized Contact | KRISTY LEE KRASNAVAGE O Wner 207-474-3013 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ME PH50001524) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
333600000X Pharmacy | |
Enumeration Date | 2006-11-03 |
Last Update Date | 2025-10-15 |