Organization
MILBRIDGE PHARMACY INC
Active
Other names
MILBRIDGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CLYDE BELANGER RPH (PIC)
(207) 546-2304
Entity
Organization
Contact information
Practice address
11 MAIN STREET, MILBRIDGE, ME 04658-0458
(207) 546-2304
(207) 546-2305
Mailing address
PO BOX 458, MILBRIDGE, ME 04658-0458
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH50000733
ME
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127150000
—
ME
01
—
2036581
PK
—
Enumeration date
02/06/2007
Last updated
12/03/2015
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