| NPI | 1952303422 |
|---|---|
| Doing Business As | ST JOHN VALLEY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHARLES OUELLETTE Owner 207-834-2880 |
| 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 | 2013-12-04 |