Organization Name:  WHO INC


Practice Location:
580 BRIGHTON AVE  PORTLAND, ME 04102 US
Tel: 207-773-4746  Fax: --

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


Taxonomy:

Primary	Code	Category/Description	State	License Number
X	333600000X	Suppliers Pharmacy	ME	PH50001174
X	3336C0003X	Suppliers Pharmacy
X	3336C0004X	Suppliers Pharmacy
X	3336M0002X	Suppliers Pharmacy
X	3336S0011X	Suppliers Pharmacy

Other Provider Identifiers:

Issuer	Number	State	Type
OTHER ID NUMBER-COMMERCIAL NUMBER	2007626		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