Colonial Pharmacy
LBN: Colonial Pharmacy Inc
Colonial Pharmacy is an health care organization with primary practice located at 40 Dock Sq , Kennebunkport ME 04046-6011. 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.
Colonial Pharmacy Inc can be contacted via phone (207) 967-4442, or through Tito, Gary via phone (207) 967-4442.
Contact Information
Primary practice address
40 Dock Sq
Kennebunkport ME 04046-6011
Phone: (207) 967-4442
Fax: (207) 967-3378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH50000011 | Maine |
Profile Details
| NPI number | 1013041557 |
|---|---|
| LBN Legal business name | Colonial Pharmacy Inc |
| DBA Doing business as | Colonial Pharmacy |
| Authorized official | Tito, Gary |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Mar 27th, 2017 - about 8 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 | 1013041557 | NPPES |
| Other | 2035682 | PK |
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