Organization
MAINEGENERAL MEDICAL CENTER
Active
Other names
MaineGeneral Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE BRANN (CFO)
(207) 626-1230
Entity
Organization
Contact information
Practice address
149 NORTH ST STE 3, WATERVILLE, ME 04901-4974
(207) 626-1000
Mailing address
1620 W NORTHWEST HWY STE 100, GRAPEVINE, TX 76051-3219
(817) 913-7247
(817) 720-1039
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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