Organization
MAINEHEALTH
Active
Parent organization
MAINEHEALTH
Other names
MaineHealth Pharmacy Maine Medical Center Portland
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAINEHEALTH
Authorized official
LUGENE INZANA (ASSOCIATE CFO)
(207) 661-1346
Entity
Organization
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2626
(207) 662-6660
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2626
(207) 662-6660
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH50001517
ME
Other
Enumeration date
10/29/2014
Last updated
04/08/2025
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