| NPI | 1730566126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET M HAM President 207-885-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 12672) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2017-05-10 |