Provider Information for 1538536180
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COMMUNITY PHARMACIES LLC.
Other Names:Doing Business As:COMMUNITY PHARMACY-HERMONOrganization Subpart: NO
NPI: 1538536180
Last Updated: 2021-12-30
Certification Date: 2021-12-30
Certification Date: 2021-12-30
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1538536180 | ||||||||||||||||||||
| Enumeration Date | 2015-08-31 | ||||||||||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Authorized Official Information | Name: JOSEPH BRUNO Title: President/CEO Phone: 2076210698 | ||||||||||||||||||||
| Mailing Address | PO BOX 528 AUGUSTA, ME 04332-0528 United States Phone: 207-621-0698 | Fax:207-622-0952 | ||||||||||||||||||||
| Primary Practice Address | 2402 ROUTE 2 UNIT 1 HERMON, ME 04401-0666 United States Phone: 207-848-5020 | Fax:207-848-3909 | ||||||||||||||||||||
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