National Provider Identifier Database

PENOBSCOT COMMUNITY HEALTH CENTER
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

PENOBSCOT COMMUNITY HEALTH CENTER
242 BRUNSWICK ST
OLD TOWN, ME04468-1613
Phone: 207-992-4100
Fax: 207-827-8391
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Clinic Pharmacy 3336C0002X
Compounding Pharmacy 3336C0004X

* Indicates primary specialty

NPI Profile & details for PENOBSCOT COMMUNITY HEALTH CENTER

NPI Number 1316136302
Legal business name
LBN
PENOBSCOT COMMUNITY HEALTH CENTER
Authorized official LORI DWYER - (PRESIDENT & CEO)
Entity Organization
Organization subpart No
Enumeration date 10/16/2007
Last updated 01/19/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: PH50001432
  • ME Medicaid: 131160301
  • Other: 2037653 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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