NPI | 1538156807 |
---|---|
Doing Business As | COMMUNITY PHARMACY-GORHAM |
Entity Type | Organization |
Authorized Contact | JOSEPH BRUNO President/CEO 207-621-0698 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ME PH50001405) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2005-10-03 |
Last Update Date | 2021-12-30 |