| NPI | 1942602925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADY ELATTAR Pharmacy District Manager 207-859-9341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR13013) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |