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Contact Information

COLONIAL PHARMACY INC
40 DOCK SQ
KENNEBUNKPORT, ME04046-6011
 Phone: 207-967-4442
 Fax: 207-967-3378
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COLONIAL PHARMACY INC

NPI # 1013041557
LBN Legal business name COLONIAL PHARMACY INC
Authorized official GARY TITO - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/15/2007
Last updated 03/27/2017 - About 9 years ago
Identifiers
ME License # PH50000011
Other 2035682 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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