| NPI | 1629186002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VAIL President And Manager 207-885-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ME PH50001092) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2018-04-20 |