Organization
GREENE VILLAGE PHARMACY INC
Active
Other names
Greene Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE ANN SCHOMAKER RPH (VICE PRESIDENT)
(207) 754-1128
Entity
Organization
Contact information
Practice address
526 ROUTE 202, GREENE, ME 04236-4242
(207) 946-2425
(207) 946-2428
Mailing address
526 ROUTE 202, GREENE, ME 04236-4242
(207) 946-2425
(207) 946-2428
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH50001422
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164726014-003
—
ME
Enumeration date
01/07/2011
Last updated
06/08/2022
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