Organization
WATERVILLE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAYTON R SMITH RHP (PHARMACIST)
(207) 453-4411
Entity
Organization
Contact information
Practice address
50 W CONCOURSE, WATERVILLE, ME 04901-6007
(207) 453-4411
(207) 453-6612
Mailing address
50 W CONCOURSE, WATERVILLE, ME 04901-6007
(207) 453-4411
(207) 453-6612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH50001305
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH50001305
PHARMACY LICENSE NUMBER
ME
Enumeration date
05/08/2007
Last updated
03/07/2023
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