| NPI | 1568759058 |
|---|---|
| Doing Business As | MT BLUE DRUG |
| Entity Type | Organization |
| Authorized Contact | KRISTY KRASNAVAGE Owner 207-474-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ME PH50001429) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2025-10-03 |