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Compounding Pharmacy

Hermon, Maine

Provider NPI: 1538536180

Organization Information:

Practice Location:
2402 ROUTE 2 UNIT 1  HERMON, ME 04401 US
Tel: 207-848-5020  Fax: --

Business Mailing Address:
Tel: --  Fax: --


PrimaryCodeCategory/DescriptionStateLicense Number
Compounding Pharmacy
Durable Medical Equipment & Medical Supplies

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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