| NPI | 1447247846 |
|---|---|
| Doing Business As | COMMUNITY PHARMACY-RANDOLPH |
| Entity Type | Organization |
| Authorized Contact | JOSEPH BRUNO President/CEO 207-621-0698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ME PH50001410) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2021-12-30 |