| NPI | 1396026258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANNE CRAWFORD-SPENCER Pharmacy Manager 207-771-5631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR4623) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |