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Organization

HOWARDS REXALL STORES INC

Active
Other names
HOWARDS REXALL DRUG
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES WITT RPH (PRESIDENT)
(207) 778-2695
Entity
Organization

Contact information

Practice address
180 MAIN ST, FARMINGTON, ME 04938-1921
(207) 778-2695
(207) 778-3933
Mailing address
180 MAIN ST, FARMINGTON, ME 04938-1921

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH50000225
ME
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2001713
OTHER ID NUMBER
Enumeration date
06/16/2006
Last updated
12/21/2007
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