St John Valley Pharmacy
LBN: St John Valley Pharmacy Llc
St John Valley Pharmacy is an health care organization with primary practice located at 182 Market St Ste 2, Fort Kent ME 04743. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
St John Valley Pharmacy Llc can be contacted via phone (207) 834-2880, or through Ouellette, Charles via phone (207) 834-2880.
Contact Information
Primary practice address
182 Market St Ste 2
Fort Kent ME 04743
Phone: (207) 834-2880
Fax: (207) 834-2882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH50001216 | Maine |
Profile Details
| NPI number | 1952303422 |
|---|---|
| LBN Legal business name | St John Valley Pharmacy Llc |
| DBA Doing business as | St John Valley Pharmacy |
| Authorized official | Ouellette, Charles |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 13th, 2005 |
| Last updated | Dec 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952303422 | NPPES |
| Maine | MEDICAID | 424260000 | |
| Maine | Other | 2037573 |
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