Organization
EASTPORT FAMILY PHARMACY
Active
Other names
Eastport Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN OKAFOR PHARMD (PHARMACY MANAGER)
(207) 299-8889
Entity
Organization
Contact information
Practice address
34 MIDDLE ST, EASTPORT, ME 04631
(207) 853-9200
(207) 853-4002
Mailing address
34 MIDDLE STREET, EASTPORT, ME 04631
(207) 853-9200
(207) 853-4002
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH50001563
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164849691
—
ME
01
—
2144883
PK
—
Enumeration date
03/21/2014
Last updated
05/04/2023
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