Legal Business Name
M Drug Llc
Also Known As
Northern Light Pharmacy
NPI Number
1811392921
NPI Type
Organization
Enumeration Date
10/31/2014
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
PO BOX 1779
401 N MAIN ST STE A&B
City
Bangor
Brewer
State
ME
ME
Postal Code
04402-1779
04412-1873
Country
US
US
Telephone Number
(207) 275-3261
(207) 275-3300
Authorized Official
Name
Matthew Marston
Title or Position
DIRECTOR OF PHARMACY
Telephone Number
(207) 275-3239
Identifiers
Identifier
2148485
Identifier State
Unknown
Identifier Issuer
PK
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/10/2019
Provider Address
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