NPI | 1427153600 |
---|---|
Doing Business As | NORTHERN LIGHT PHARMACY WESTGATE |
Entity Type | Organization |
Authorized Contact | MATTHEW MARSTON Director Of Pharmacy 207-275-3256 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ME PH50001490) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-09-13 |
Last Update Date | 2019-10-10 |