St John Valley Ltc

LBN: St John Valley Pharmacy Llc
St John Valley Ltc is an health care organization with primary practice located at 182 Market St Ste 3 , Fort Kent ME 04743-1514. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care 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 3 Fort Kent ME 04743-1514
Phone: (207) 834-2880
Fax: (207) 834-2882
Website:
Map and Directions
Authorized official contact:
Name: Ouellette, Charles
Phone: (207) 834-2880

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PH50001240 Maine

Profile Details

NPI number 1184645921
LBN Legal business name St John Valley Pharmacy Llc
DBA Doing business as St John Valley Ltc
Authorized official Ouellette, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated May 8th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184645921 NPPES
Other 2037589 PK
MEDICAID 1184645921 PK

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