Organization
MAINE VETERANS' HOMES
Active
Other names
MVH Pharmacy (External Non VA Business)
Organization subpart
No
Provider details
NPI number
Authorized official
JIM MCQUAID (CEO)
(207) 622-0075
Entity
Organization
Contact information
Practice address
460 CIVIC CENTER DR STE 1, AUGUSTA, ME 04330-7902
(207) 624-0200
(207) 624-0201
Mailing address
5 COMMUNITY DR, SUITE 1, AUGUSTA, ME 04330-8087
(207) 624-0200
(207) 624-0201
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH50001457
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008743
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/04/2013
Last updated
11/19/2020
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