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Organization
NORTHERN MAINE MEDICAL CENTER
Active
Organization
NORTHERN MAINE MEDICAL CENTER
Active
Other names
Northern Maine Medical Center LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ZEWE (CEO)
(207) 834-1411
Entity
Organization
Contact information
Practice address
104 MAIN ST, MADAWASKA, ME 04756
(207) 728-7200
(207) 728-7227
Mailing address
104 MAIN ST, MADAWASKA, ME 04756-1437
(207) 728-7200
(207) 728-7227
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH50001668
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431916600
—
ME
Enumeration date
08/14/2017
Last updated
09/15/2022
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