# NORTHERN MAINE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northern Maine Medical Center LTC Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548785371
- **Authorized official:** JEFFREY ZEWE (CEO)
- **Authorized official phone:** (207) 834-1411

## Contact information

- **Practice address:** 104 MAIN ST, MADAWASKA, ME 04756
- **Practice address phone:** (207) 728-7200
- **Practice address fax:** (207) 728-7227
- **Mailing address:** 104 MAIN ST, MADAWASKA, ME 04756-1437
- **Mailing address phone:** (207) 728-7200
- **Mailing address fax:** (207) 728-7227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PH50001668 | ME | Yes |

## Other

- **Enumeration date:** 08/14/2017
- **Last updated:** 09/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 431916600 | — | ME |