Organization
KENNEBEC PHARMACY AND HOME CARE, LLC
Active
Parent organization
KENNEBEC PHARMACY & HOME CARE, LLC
Other names
Kennebec Pharmacy & Home Care, LLC, Kennebce Pharmacy & Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENNEBEC PHARMACY & HOME CARE, LLC
Authorized official
TED NATHAN TREBILCOCK (CONTROLLER)
(207) 626-2726
Entity
Organization
Contact information
Practice address
12 ATLANTIC PL UNIT A-12, SOUTH PORTLAND, ME 04106-2316
(207) 626-2130
(207) 502-8030
Mailing address
43 LEIGHTON RD, AUGUSTA, ME 04330-7705
(207) 626-2726
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129010001
—
ME
Enumeration date
12/15/2020
Last updated
04/01/2026
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