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Organization

CHESTER A HIBBARD

Active
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Organization

CHESTER A HIBBARD

Active
Other names
E W MOORE AND SON PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
CHESTER HIBBARD PHRM (OWNER)
(207) 672-3312
Entity
Organization

Contact information

Practice address
337 MAIN ST, BINGHAM, ME 04920-0614
(207) 672-3312
(207) 672-4158
Mailing address
337 MAIN ST, PO BOX 614, BINGHAM, ME 04920-0614

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PH50000798
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12788000
ME
01
2001270
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
01/18/2007
Last updated
10/21/2011
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