Organization
MOOSEHEAD DRUG INC.
Active
Organization
MOOSEHEAD DRUG INC.
Active
Other names
HARRIS DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HARRIS (PHARMACY MANAGER)
(207) 695-2921
Entity
Organization
Contact information
Practice address
10 PRITHAM AVE, GREENVILLE, ME 04441
(207) 695-2921
(207) 695-3449
Mailing address
PO BOX 530, GREENVILLE, ME 04441-0530
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH50000224
ME
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10288603
—
ME
01
—
2035835
PK
—
Enumeration date
03/02/2007
Last updated
02/21/2017
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