Organization
NAPLES PROFESSIONAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM FICKER RPH (OWNER)
(207) 693-6111
Entity
Organization
Contact information
Practice address
4 MESERVE ST, NAPLES, ME 04055-5346
(207) 693-6111
(207) 693-4942
Mailing address
PO BOX 1620, NAPLES, ME 04055-1620
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH50001196
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007400
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/20/2006
Last updated
10/23/2007
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