| NPI | 1952856759 |
|---|---|
| Doing Business As | NORTHERN LIGHT PHARMACY FORE RIVER |
| Entity Type | Organization |
| Authorized Contact | MATTHEW J MARSTON Director Of Pharmacy 207-275-3239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ME PH50001645) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2019-10-10 |