Organization
KENNEBEC PHARMACY AND HOME CARE LLC
Active
Organization
KENNEBEC PHARMACY AND HOME CARE LLC
Active
Other names
KENNEBEC PHARMACY & HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
TED NATHAN TREBILCOCK (CONTROLLER)
(207) 626-2726
Entity
Organization
Contact information
Practice address
839 COMMERCIAL ST STE 2, ROCKPORT, ME 04856-4243
(207) 594-0888
(207) 594-0889
Mailing address
43 LEIGHTON RD, AUGUSTA, ME 04330-7705
(207) 626-2726
(207) 626-8163
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129010002
—
ME
01
—
2037593
PK
—
Enumeration date
07/30/2006
Last updated
09/23/2025
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