| NPI | 1578372728 |
|---|---|
| Doing Business As | MT BLUE DRUG |
| Entity Type | Organization |
| Authorized Contact | KRISTY KRASNAVAGE Owner 207-474-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-10-03 |