Organization
FRONTIER PHARMACY LLC
Active
Other names
Frontier Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SOLOMON (MANAGAING MEMBER)
(207) 227-7440
Entity
Organization
Contact information
Practice address
153 BENNETT DR, CARIBOU, ME 04736-2024
(207) 493-7771
(207) 493-7895
Mailing address
153 BENNETT DR, CARIBOU, ME 04736-2024
(207) 493-7771
(207) 493-7895
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH50001462
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679812200
—
ME
01
—
2138755
PK
—
Enumeration date
02/01/2013
Last updated
01/20/2017
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