# KENNEBEC PHARMACY AND HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063445625
- **Authorized official:** TED NATHAN TREBILCOCK (CONTROLLER)
- **Authorized official phone:** (207) 626-2726

## Contact information

- **Practice address:** 121 MEDICAL CENTER DR, STE G500, BRUNSWICK, ME 04011-2653
- **Practice address phone:** (207) 729-3642
- **Practice address fax:** (207) 729-2704
- **Mailing address:** 43 LEIGHTON RD, AUGUSTA, ME 04330-7705
- **Mailing address phone:** (207) 626-2726
- **Mailing address fax:** (207) 729-2704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 09/23/2025