Organization
OLD PORT PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL B CHACE R.PH. (PRESIDENT)
(207) 240-1082
Entity
Organization
Contact information
Practice address
195 MIDDLE ST, PORTLAND, ME 04101-4003
(207) 772-2164
(207) 353-0638
Mailing address
195 MIDDLE ST, PORTLAND, ME 04101-4003
(207) 772-2164
(207) 353-0638
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH50001274
ME
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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