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Organization
MT BLUE DRUG INC
Active
Organization
MT BLUE DRUG INC
Active
Other names
Mt Blue Drug
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY KRASNAVAGE (OWNER)
(207) 474-3393
Entity
Organization
Contact information
Practice address
624 WILTON RD, FARMINGTON, ME 04938-6138
(207) 778-5419
Mailing address
624 WILTON RD, FARMINGTON, ME 04938-6138
(207) 778-5419
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
01/02/2025
Last updated
10/03/2025
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