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Organization

NORTHERN MAINE MEDICAL CENTER

Active
Parent organization
NORTHERN MAINE MEDICAL CENTER
Other names
Northern Maine Medical Center Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHERN MAINE MEDICAL CENTER
Authorized official
JEFFREY ZEWE (CEO)
(207) 834-1411
Entity
Organization

Contact information

Practice address
104 MAIN ST, MADAWASKA, ME 04756
(207) 728-7200
(207) 728-7227
Mailing address
104 MAIN ST, MADAWASKA, ME 04756-1437
(207) 728-7200
(207) 728-7227

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH50001668
ME
3336C0003X
Community/Retail Pharmacy
Primary
PH50001668
ME
3336L0003X
Long Term Care Pharmacy
PH50001668
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2007830
NCPDP NUMBER
Enumeration date
12/10/2005
Last updated
09/15/2022
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