Organization
MAINEHEALTH
Active
Organization
MAINEHEALTH
Active
Other names
The Pharmacy at Pen Bay Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY WADE (REGIONAL CHIEF OPERATING OFFICER)
(207) 563-4597
Entity
Organization
Contact information
Practice address
6 GLEN COVE DR, ROCKPORT, ME 04856-4273
(207) 921-8585
Mailing address
6 GLEN COVE DR, ROCKPORT, ME 04856-4273
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
08/21/2018
Last updated
03/01/2019
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