Organization
MARTINS POINT HEALTH CARE INC
Active
Other names
PORTLAND PHARMACY II
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FALK (PHARMACY MANAGER)
(207) 791-3746
Entity
Organization
Contact information
Practice address
901 WASHINGTON AVE, PORTLAND, ME 04103-2737
(207) 774-5801
(207) 828-2483
Mailing address
331 VERANDA ST, PORTLAND, ME 04103-5545
(207) 774-5801
(207) 828-2495
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PH50001370
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2037452
PK
—
05
—
999010276
—
ME
Enumeration date
03/24/2006
Last updated
04/17/2013
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