Organization
KENNEBEC PHARMACY AND HOME CARE LLC
Active
Other names
Kennebec Pharmacy & Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOE MCVETY (VP PHARMACY SERVICES)
(207) 626-2726
Entity
Organization
Contact information
Practice address
11 MEDICAL CENTER PKWY STE A, AUGUSTA, ME 04330-8158
(207) 626-9066
(207) 621-8016
Mailing address
11 MEDICAL CENTER PKWY STE A, AUGUSTA, ME 04330-8158
(207) 626-9066
(207) 621-8016
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PH50001559
ME
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160541
PK
—
Enumeration date
06/13/2016
Last updated
11/13/2017
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