| NPI | 1902825938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHEELER ROGER President Of Pharmacy 207-885-2518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MA 2359) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MA 2359) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 2359) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2025-04-09 |