# MT BLUE DRUG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mt Blue Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578372728
- **Authorized official:** KRISTY KRASNAVAGE (OWNER)
- **Authorized official phone:** (207) 474-3393

## Contact information

- **Practice address:** 624 WILTON RD, FARMINGTON, ME 04938-6138
- **Practice address phone:** (207) 778-5419
- **Mailing address:** 624 WILTON RD, FARMINGTON, ME 04938-6138
- **Mailing address phone:** (207) 778-5419

## Taxonomy

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

## Other

- **Enumeration date:** 01/02/2025
- **Last updated:** 10/03/2025