NPI | 1922031582 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN R. ANDERSON President 207-798-4535 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: ME PH50001186) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ME PH50001186) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2020-08-22 |