Northern Light Pharmacy Riverside

LBN: M Drug Llc
Northern Light Pharmacy Riverside is an health care organization with primary practice located at 417 State St Ste 130 , Bangor ME 04401-6630. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. M Drug Llc can be contacted via phone (207) 973-8888, or through Marston, Matthew via phone (207) 275-3239.

Contact Information

Primary practice address
417 State St Ste 130 Bangor ME 04401-6630
Phone: (207) 973-8888
Fax: (207) 973-8891
Website:
Map and Directions
Authorized official contact:
Name: Marston, Matthew PHARMD
Phone: (207) 275-3239

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH50001488 Maine

Profile Details

NPI number 1407951676
LBN Legal business name M Drug Llc
DBA Doing business as Northern Light Pharmacy Riverside
Authorized official Marston, Matthew PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Oct 10th, 2019 - about 5 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 1407951676 NPPES
Other 2125120 PK
MEDICAID 1407951676 PK

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