AMBER ENTERPRISES INC.
Specialty Pharmacy
South Portland, Maine
Provider NPI: 1205460011
Organization Information:Organization Name: AMBER ENTERPRISES INC.
Practice Location:
10 DONALD B DEAN DR STE 3 SOUTH PORTLAND, ME 04106 US
Tel: 888-370-1724 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
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
Practice Location:
10 DONALD B DEAN DR STE 3 SOUTH PORTLAND, ME 04106 US
Tel: 888-370-1724 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 3336C0004X | Suppliers Pharmacy | ||
N | 3336H0001X | Suppliers Pharmacy | ||
N | 3336S0011X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1205460011 | ME | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin