Carroll Drug Store Inc

LBN: Carroll Drug Store Inc
Carroll Drug Store Inc is an health care organization with primary practice located at 3 Village Green Way , Southwest Harbor ME 04679. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Carroll Drug Store Inc can be contacted via phone (207) 244-5588, or through Norberg, Eric W via phone (207) 244-5588.

Contact Information

Primary practice address
3 Village Green Way Southwest Harbor ME 04679
Fax: (207) 244-5718
Website:
Authorized official contact:
Name: Norberg, Eric W RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH50001017 Maine

Profile Details

NPI number 1750463808
LBN Legal business name Carroll Drug Store Inc
DBA Doing business as
Authorized official Norberg, Eric W RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Oct 18th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750463808 NPPES
Maine MEDICAID 103650000

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