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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