Mt Blue Drug Inc
May also be knows as Mt Blue Drug
Community/Retail Pharmacy in Farmington, ME(View on Map)
Legal Business Name
Mt Blue Drug Inc
Also Known As
Mt Blue Drug
NPI Number
1568759058
NPI Type
Organization
Enumeration Date
07/05/2011
Specialties
(Taxonomies)Code
3336C0003X
3336L0003X
333600000X
Primary Taxonomy
Yes
No
No
Licenses
State
Maine
License Number
PH50001429
Contact
Information
Purpose
Mailing
Location
Address
12 HIGH ST
624 WILTON RD
City
Skowhegan
Farmington
State
ME
ME
Postal Code
04976-1815
04938-6138
Country
US
US
Telephone Number
(207) 474-3393
(207) 778-5419
Authorized Official
Name
Kevin Holland
Title or Position
PRESIDENT/ PIC
Telephone Number
(207) 474-3393
Identifiers
Identifier
2131060
169480000
Identifier State
Unknown
ME
Identifier Issuer
PK
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/13/2019
Provider Address
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