Organization
NORTHERN MAINE MEDICAL CENTER
Active
Other names
Northern Maine Medical Center LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ZEWE (CEO)
(207) 834-1411
Entity
Organization
Contact information
Practice address
104 MAIN ST, MADAWASKA, ME 04756
(207) 728-7200
(207) 728-7227
Mailing address
104 MAIN ST, MADAWASKA, ME 04756-1437
(207) 728-7200
(207) 728-7227
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH50001668
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431916600
—
ME
Enumeration date
08/14/2017
Last updated
09/15/2022
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