| NPI | 1861844300 |
|---|---|
| Doing Business As | CMMC PHARMACY-CENTER ST |
| Entity Type | Organization |
| Authorized Contact | KEVIN FORBUSH Director Of Pharmacy 207-795-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: ME PH50001561) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2017-01-18 |