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Contact Information

MAINEHEALTH
ATTN: RETAIL PHARMACY
6 GLEN COVE DRIVE
ROCKPORT, ME04856
 Phone: 207-921-8585
 Fax: 207-921-5274
 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 MAINEHEALTH

NPI # 1396815106
LBN Legal business name MAINEHEALTH
Authorized official LUGENE INZANA - (ASSOCIATE CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2006
Last updated 04/08/2025 - More than a year ago
Identifiers
ME License # PH50001080
Other 2037448 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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