Organization
M DRUG LLC
Active
Other names
NORTHERN LIGHT PHARMACY RIVERSIDE
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MARSTON PHARMD (DIRECTOR OF PHARMACY)
(207) 275-3239
Entity
Organization
Contact information
Practice address
417 STATE ST STE 130, BANGOR, ME 04401-6630
(207) 973-8888
(207) 973-8891
Mailing address
PO BOX 1779, BANGOR, ME 04402-1779
(207) 973-8888
(207) 973-8891
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH50001488
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407951676
—
ME
01
—
2125120
PK
—
Enumeration date
09/13/2006
Last updated
10/10/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us