Organization
AROOSTOOK APOTHECARY LLC
Active
Other names
City Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW TALBOT (PRESIDENT)
(207) 764-4424
Entity
Organization
Contact information
Practice address
159 ACADEMY ST, PRESQUE ISLE, ME 04769-3101
(207) 764-4424
(207) 764-4425
Mailing address
159 ACADEMY ST, PRESQUE ISLE, ME 04769-3101
(207) 764-4424
(207) 764-4425
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174006647
—
ME
01
—
PH50001673
MAINE BOARD OF PHARMACY
ME
Enumeration date
09/11/2018
Last updated
01/20/2022
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