Organization
MAINEHEALTH
Active
Other names
MAINEHEALTH RETAIL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LUGENE INZANA (ASSOCIATE CFO)
(207) 661-1346
Entity
Organization
Contact information
Practice address
ATTN: RETAIL PHARMACY, 6 GLEN COVE DRIVE, ROCKPORT, ME 04856
(207) 921-8585
(207) 921-5274
Mailing address
ATTN: RETAIL PHARMACY, 6 GLEN COVE DRIVE, ROCKPORT, ME 04856
(207) 921-8585
(207) 921-5274
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH50001080
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2037448
PK
—
Enumeration date
11/09/2006
Last updated
04/08/2025
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