# PRESQUE ISLE PHARMACY CO., LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Presque Isle Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417662255
- **Authorized official:** KYLIE M FULLER (PHARMACY MANAGER)
- **Authorized official phone:** (207) 760-9100

## Contact information

- **Practice address:** 797 MAIN ST, PRESQUE ISLE, ME 04769-2201
- **Practice address phone:** (207) 760-9100
- **Practice address fax:** (207) 760-9191
- **Mailing address:** 797 MAIN ST, PRESQUE ISLE, ME 04769-2201
- **Mailing address phone:** (207) 760-9100
- **Mailing address fax:** (207) 760-9191

## Taxonomy

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

## Other

- **Enumeration date:** 01/17/2023
- **Last updated:** 02/07/2024