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Organization
KENNEBEC PHARMACY AND HOME CARE LLC
Active
Organization
KENNEBEC PHARMACY AND HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED NATHAN TREBILCOCK (CONTROLLER)
(207) 626-2726
Entity
Organization
Contact information
Practice address
121 MEDICAL CENTER DR, STE G500, BRUNSWICK, ME 04011-2653
(207) 729-3642
(207) 729-2704
Mailing address
43 LEIGHTON RD, AUGUSTA, ME 04330-7705
(207) 626-2726
(207) 729-2704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
07/08/2006
Last updated
09/23/2025
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