| NPI | 1659476836 |
|---|---|
| Doing Business As | AIRLINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAMON WILSON Senor Is Analyst 207-973-6684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ME PH50001105) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-08-31 |