Organization
SOUTH BERWICK PHARMACY SEACOAST COMPOUNDING INC
Active
Organization
SOUTH BERWICK PHARMACY SEACOAST COMPOUNDING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE KENNEY HANSEN (OWNER)
(207) 384-2772
Entity
Organization
Contact information
Practice address
289 MAIN ST, SOUTH BERWICK, ME 03908-1543
(207) 384-2772
Mailing address
289 MAIN ST, SOUTH BERWICK, ME 03908-1543
(207) 384-2772
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH50001453
ME
3336C0004X
Compounding Pharmacy
PH50001453
ME
Other
Enumeration date
05/03/2012
Last updated
09/13/2021
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