Organization
MCFALL'S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PRIMOZICH (OWNER)
(207) 348-9188
Entity
Organization
Contact information
Practice address
16 PLEASANT ST, MECHANIC FALLS, ME 04256
(207) 345-9188
Mailing address
16 PLEASANT ST, MECHANIC FALLS, ME 04256
(207) 345-9188
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH50000985
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109170000
—
ME
Enumeration date
09/14/2006
Last updated
07/03/2008
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