NPI | 1962775726 |
---|---|
Doing Business As | SHIRETOWN PHARMACY |
Entity Type | Organization |
Authorized Contact | CHARLES OUELLETTE Owner 207-834-2880 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ME PH50001446) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2012-02-09 |
Last Update Date | 2013-12-06 |