Northern Light Pharmacy State Street
LBN: M Drug Llc
Northern Light Pharmacy State Street is an health care organization with primary practice located at 210 State St , Bangor ME 04401-5411. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
M Drug Llc can be contacted via phone (207) 947-8369, or through Marston, Matthew via phone (207) 275-3239.
Contact Information
Primary practice address
210 State St
Bangor ME 04401-5411
Phone: (207) 947-8369
Fax: (207) 947-0894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH50001487 | Maine |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1649281155 |
|---|---|
| LBN Legal business name | M Drug Llc |
| DBA Doing business as | Northern Light Pharmacy State Street |
| Authorized official | Marston, Matthew PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649281155 | NPPES |
| Other | 2125071 | PK |
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