Organization
CARROLL DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC W NORBERG RPH (PHARMACIST PRESIDENT)
(207) 244-5588
Entity
Organization
Contact information
Practice address
3 VILLAGE GREEN WAY, SOUTHWEST HARBOR, ME 04679
(207) 244-5588
(207) 244-5718
Mailing address
PO BOX 1306, SOUTHWEST HARBOR, ME 04679-1306
(207) 244-5588
(207) 244-5718
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH50001017
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103650000
—
ME
Enumeration date
10/19/2006
Last updated
10/18/2013
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