Organization
WESTERN MAINE PHARMACY INC
Active
Organization
WESTERN MAINE PHARMACY INC
Active
Other names
Western Maine Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY GOULD (PRESIDENT)
(207) 265-8020
Entity
Organization
Contact information
Practice address
119 MAIN ST, KINGFIELD, ME 04947-4229
(207) 265-8020
(207) 265-8022
Mailing address
PO BOX 64, KINGFIELD, ME 04947-0064
(207) 265-8020
(207) 265-8022
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH50001437
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131979
PK
—
Enumeration date
09/20/2011
Last updated
12/16/2021
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