Organization

Colonial Pharmacy Inc

May also be knows as Colonial Pharmacy

Community/Retail Pharmacy in Kennebunkport, ME(View on Map)

Legal Business Name

Colonial Pharmacy Inc

Also Known As

Colonial Pharmacy

NPI Number

1013041557

NPI Type

Organization

Enumeration Date

03/15/2007

Specialties

(Taxonomies)

Code

3336C0003X
333600000X

Primary Taxonomy

Yes
No

Licenses

State

Maine

License Number

PH50000011

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 646
40 DOCK SQ

City

Kennebunkport
Kennebunkport

State

ME
ME

Postal Code

04046-0646
04046-6011

Country

US
US

Telephone Number

(207) 967-4442
(207) 967-4442

Authorized Official

Name

Gary Tito

Title or Position

PHARMACY MANAGER

Telephone Number

(207) 967-4442

Identifiers

Identifier

2035682

Identifier State

Unknown

Identifier Issuer

PK

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/27/2017

Provider Address