Organization
KENNEBEC PHARMACY AND HOME CARE LLC
Active
Other names
Kennebec Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R ROYER (VICE-PRESIDENT OF PHARMACY SERVICES)
(207) 373-3300
Entity
Organization
Contact information
Practice address
14 GABRIEL DR, AUGUSTA, ME 04330-7853
(207) 373-3300
(207) 373-1401
Mailing address
14 GABRIEL DR, AUGUSTA, ME 04330-7853
(207) 373-3300
(207) 373-1401
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
CSP50001560
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147864
PK
—
Enumeration date
09/03/2014
Last updated
07/10/2023
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