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Contact Information

MOOSEHEAD DRUG INC.
10 PRITHAM AVE
GREENVILLE, ME04441
 Phone: 207-695-2921
 Fax: 207-695-3449
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MOOSEHEAD DRUG INC.

NPI Number 1528196219
LBN Legal business name MOOSEHEAD DRUG INC.
Authorized official MICHAEL HARRIS - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/02/2007
Last updated 02/21/2017 - About 9 years ago
Identifiers
ME License # PH50000224
ME Medicaid 10288603
Other 2035835 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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