Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Parent organization
PENOBSCOT COMMUNITY HEALTH CENTER
Other names
Seaport Community Health Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENOBSCOT COMMUNITY HEALTH CENTER
Authorized official
LORI L. DWYER ESQ. (PRESIDENT & CEO)
(207) 992-9200
Entity
Organization
Contact information
Practice address
29 SCHOODIC DR, BELFAST, ME 04915-7246
(207) 338-6900
Mailing address
PO BOX 439, BANGOR, ME 04402-0439
(207) 992-9200
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH50001510
ME
3336C0003X
Community/Retail Pharmacy
PH50001510
ME
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
04/28/2024
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