Organization
AFFILIATED PHARMACY SERVICES
Active
Other names
AIRLINE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON WILSON (SENOR IS ANALYST)
(207) 973-6684
Entity
Organization
Contact information
Practice address
405 N MAIN ST, NORTH MAIN ST SHOPPING CTR, BREWER, ME 04412-1877
(207) 989-2424
(207) 989-6060
Mailing address
405 N MAIN ST, NORTH MAIN ST SHOPPING CTR, BREWER, ME 04412-1877
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH50001105
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007397
OTHER ID NUMBER
—
Enumeration date
09/13/2006
Last updated
08/31/2007
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