| NPI | 1609216498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WICKER Owner 207-426-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ME ph50001492) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2024-07-03 |