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Organization

PENOBSCOT COMMUNITY HEALTH CENTER

Active
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Organization

PENOBSCOT COMMUNITY HEALTH CENTER

Active
Other names
Brewer Medical Center Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
LORI DWYER ESQ. (PRESIDENT & CEO)
(207) 992-9200
Entity
Organization

Contact information

Practice address
735 WILSON STREET, BREWER, ME 04412
(207) 945-5247
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH50001392
ME
3336C0003X
Community/Retail Pharmacy
Primary
PH50001392
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2008527
NCPDP
Enumeration date
05/12/2010
Last updated
08/06/2018
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