| NPI | 1558577023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY KIRK MOLATCH Proprietor 207-664-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ME 1088089) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-03-21 |