Organization Name:  CENTRAL MAINE APOTHECARY VENTURES


Practice Location:
593 CENTER ST  AUBURN, ME 04210 US
Tel: 207-784-0807  Fax: --

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


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	3336C0003X	Suppliers Pharmacy Community/Retail Pharmacy
N	3336S0011X	Suppliers Pharmacy
Y	333600000X	Suppliers Pharmacy	ME	PH50001561

Other Provider Identifiers:

Issuer	Number	State	Type
PK	2162050		01

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