Organization
NORTHERN MAINE MEDICAL CENTER
Active
Other names
St. John Valley LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAIN BOIS (COO)
(207) 834-3155
Entity
Organization
Contact information
Practice address
182 MARKET STREET, SUITE 3, FORT KENT, ME 04743
(207) 834-2881
(207) 834-2082
Mailing address
194 EAST MAIN STREET, FORT KENT, ME 04743
(207) 834-3155
(207) 834-2949
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184645921
—
ME
01
—
2037589
PK
—
Enumeration date
07/21/2006
Last updated
03/25/2025
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