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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