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Organization
CENTRAL MAINE APOTHECARY VENTURES
Active
Organization
CENTRAL MAINE APOTHECARY VENTURES
Active
Other names
CMMC Pharmacy-Center St
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN FORBUSH (DIRECTOR OF PHARMACY)
(207) 795-2328
Entity
Organization
Contact information
Practice address
593 CENTER ST, AUBURN, ME 04210-6323
(207) 784-0807
(207) 784-0808
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 784-0807
(207) 784-0808
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH50001561
ME
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162050
PK
—
Enumeration date
07/08/2016
Last updated
01/18/2017
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