# CARROLL DRUG STORE INC

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

## Provider details

- **NPI number:** 1124854393
- **Authorized official:** MR. ERIC W NORBERG RPH (PRESIDENT/PHARMACIST IN CHARGE)
- **Authorized official phone:** (207) 244-5588

## Contact information

- **Practice address:** 3 VILLAGE GREEN WAY, SOUTHWEST HARBOR, ME 04679-4227
- **Practice address phone:** (207) 244-5588
- **Practice address fax:** (207) 244-5718
- **Mailing address:** PO BOX 1306, SOUTHWEST HARBOR, ME 04679-1306
- **Mailing address phone:** (207) 244-5588
- **Mailing address fax:** (207) 244-5718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2024
- **Last updated:** 09/12/2024