Organization
PATTEN DRUG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL FITZPATRICK (OWNER)
(207) 528-2244
Entity
Organization
Contact information
Practice address
20 MAIN ST, PATTEN, ME 04765-0000
(207) 528-2244
(207) 528-2243
Mailing address
PO BOX 675, PATTEN, ME 04765-0675
(207) 528-2244
(207) 528-2243
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PH50000115
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010507344
—
ME
01
—
2002020
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/01/2007
Last updated
03/22/2011
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