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Organization

GUARDIAN PHARMACY OF MAINE LLC

Active
Other names
Waltz Long Term Care Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. COURTNEY DOHERTY OLAND R.PH. (DIRECTOR OF PHARMACY)
(207) 373-9077
Entity
Organization

Contact information

Practice address
3 BUSINESS PKWY, SUITE 2, BRUNSWICK, ME 04011-7390
(207) 373-9077
(207) 373-9088
Mailing address
3 BUSINESS PKWY STE 2, BRUNSWICK, ME 04011-7390
(207) 373-9077
(207) 373-9088

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
PR5462
ME

Other

Enumeration date
12/31/2015
Last updated
12/31/2015
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