Northern Light Pharmacy Fore River

LBN: M Drug Llc
Northern Light Pharmacy Fore River is an health care organization with primary practice located at 195 Fore River Pkwy Ste 170 , Portland ME 04102-2782. 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) 535-1600, or through Marston, Matthew J via phone (207) 275-3239.

Contact Information

Primary practice address
195 Fore River Pkwy Ste 170 Portland ME 04102-2782
Phone: (207) 535-1600
Fax: (207) 535-1610
Website:
Map and Directions
Authorized official contact:
Name: Marston, Matthew J PHARMD
Phone: (207) 275-3239

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH50001645 Maine

Profile Details

NPI number 1952856759
LBN Legal business name M Drug Llc
DBA Doing business as Northern Light Pharmacy Fore River
Authorized official Marston, Matthew J PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2016
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 1952856759 NPPES
Maine MEDICAID 1952856759
Maine Other 2164242

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