| NPI | 1659489029 | 
|---|---|
| Doing Business As | HARVEYS SUPERMARKET PHARMACY #2319 | 
| Entity Type | Organization | 
| Authorized Contact | COURTNEY FAIRBANKS Pharmacy Insurance Specialist 207-885-7454  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy | 
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies | 
| Enumeration Date | 2006-08-27 | 
| Last Update Date | 2011-03-11 |