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Contact Information

KENNEBEC PHARMACY AND HOME CARE LLC
121 MEDICAL CENTER DR
STE G500
BRUNSWICK, ME04011-2653
 Phone: 207-729-3642
 Fax: 207-729-2704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for KENNEBEC PHARMACY AND HOME CARE LLC

NPI # 1063445625
LBN Legal business name KENNEBEC PHARMACY AND HOME CARE LLC
Authorized official TED TREBILCOCK - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/08/2006
Last updated 09/23/2025 - About 8 months ago
Identifiers
ME Medicaid 110020000
Other 2000951 NCPDP PROVIDER IDENTIFICATION NUMBER
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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