NPI | 1952303422 |
---|---|
Doing Business As | ST JOHN VALLEY PHARMACY |
Entity Type | Organization |
Authorized Contact | AARON TEACHOUT CFO 207-834-1820 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ME PH50001216) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2005-08-13 |
Last Update Date | 2025-03-25 |