# KENNEBEC PHARMACY AND HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kennebec Senior Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265832752
- **Authorized official:** STEVEN R ROYER (VICE-PRESIDENT OF PHARMACY SERVICES)
- **Authorized official phone:** (207) 373-3300

## Contact information

- **Practice address:** 14 GABRIEL DR, AUGUSTA, ME 04330-7853
- **Practice address phone:** (207) 373-3300
- **Practice address fax:** (207) 373-1401
- **Mailing address:** 14 GABRIEL DR, AUGUSTA, ME 04330-7853
- **Mailing address phone:** (207) 373-3300
- **Mailing address fax:** (207) 373-1401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | CSP50001560 | ME | Yes |

## Other

- **Enumeration date:** 09/03/2014
- **Last updated:** 07/10/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2147864 | PK | — |