Organization
M DRUG LLC
Active
Organization
M DRUG LLC
Active
Other names
NORTHERN LIGHT PHARMACY WHITING HILL
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J MARSTON PHARMD (DIRECTOR OF PHARMACY)
(207) 275-3239
Entity
Organization
Contact information
Practice address
33 WHITING HILL RD STE 4, BREWER, ME 04412-1022
(207) 973-9444
(207) 973-9441
Mailing address
PO BOX 1779, BANGOR, ME 04402-1779
(207) 275-3211
(207) 561-4803
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH50001489
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780913111
—
ME
01
—
2125078
PK
—
Enumeration date
12/14/2009
Last updated
10/10/2019
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