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)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