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Organization
NORTHERN MAINE MEDICAL CENTER
Active
Organization
NORTHERN MAINE MEDICAL CENTER
Active
Other names
St. John Valley LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAIN BOIS (COO)
(207) 834-3155
Entity
Organization
Contact information
Practice address
182 MARKET STREET, SUITE 3, FORT KENT, ME 04743
(207) 834-2881
(207) 834-2082
Mailing address
194 EAST MAIN STREET, FORT KENT, ME 04743
(207) 834-3155
(207) 834-2949
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184645921
—
ME
01
—
2037589
PK
—
Enumeration date
07/21/2006
Last updated
03/25/2025
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