# BRUNSWICK MEDICAL CENTER PHARMACY AT SENIOR HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689779050
- **Authorized official:** SUSAN R. ANDERSON (PRESIDENT)
- **Authorized official phone:** (207) 725-8100

## Contact information

- **Practice address:** 56 BARIBEAU DR, BRUNSWICK, ME 04011-3251
- **Practice address phone:** (207) 725-8100
- **Practice address fax:** (207) 725-7779
- **Mailing address:** 56 BARIBEAU DR, PO BOX 6453, BRUNSWICK, ME 04011-3251
- **Mailing address phone:** (207) 725-8100
- **Mailing address fax:** (207) 725-7779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PH50001228 | ME | — |
| 3336L0003X | Long Term Care Pharmacy | PH50001228 | ME | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 09/11/2025
